Booking Form for Orchard House

NOTE: Please make a provisional booking with Hicks Farm Holidays before completing the booking form.

Please fill in the form below or for a printable version (PDF) click here.

The form will not submit if you have not completed all the required fields.

Once you have successfully submitted the form you will receive a copy of you completed form by email.

Orchard House Booking Form

* Indicates required field

Name of the person making the booking (the hirer)*

Address*

Street Address Street Address Line 2 Town County Postcode AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country

Email*

Phone

Please confirm the dates agreed with Hicks Farm Holidays*

*Please note, maximum occupancy is 14 persons plus 3 babies in cots*

Number of Adults*

None1234567891011121314

Number of Children*

None1234567891011121314

Number of babies in cots (< 30 months)*

None123

Pets (Number of pets & breed or none)*

Number of high chairs required*

None123

Number of cots required*

None123

Do you require a Stair Gate?*

Yes

No

In Bedroom 01 please make up:*

Just the King-size bed

Just the single bed

Both beds

Just the King-size bed with Cot

Just the single bed with Cot

Both beds with Cot

Just the Cot

This room is not required

In Bedroom 02 please make up:*

1 Single Bed

2 Single Beds

3 Single Beds

All Beds

I do not require this bedroom

In Bedroom 03 please make up:*

1 Single Bed

2 Single Beds

All Beds

I do not require this bedroom

In Bedroom 04 please make up:*

King-size bed

King-size bed with Cot

Just the Cot

I do not require this bedroom

In Bedroom 05 please make up:*

1 Single bed

2 Single beds

Super King-size bed (2 zipped together)

1 single bed with cot

2 single beds with cot

Super King-size bed with cot

Just the Cot

I do not require this bedroom

There is a hearing-aid user in our party

Yes

No

There is a wheelchair user in our party

Yes

No

Full Tariff for the above dates - Please see email correspondence from Hicks Farm Holidays.*

I enclose (30% non-returnable deposit due on booking - full amount due if booking less than 8 weeks to arrival date) - Please see email correspondence from Hicks Farm Holidays.*

Payment by*

Cheque

BACS

I have read and agree to abide by the Booking Conditions. For Booking Conditions please see link below:*

I agree

Booking Conditions

I wish to be added to your mailing list and receive any future mailings

Yes

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