Booking Form

To download a printable booking form click here or email us for an editable word document.

Alternatively you can fill in the form below (we require the name, address and date of birth of everyone staying in the caravan)

If paying by cheque please make payable to Mr & Mrs N & R Willerton and send to: 20 Bristol Road, Quedgeley, Glos. GL2 4ND

quoting your Name, caravan requested and the date of break.

Please contact us for bank transfer payment details click here

To make an online payment via paypal click here please note there is a 5% surcharge.

Lead Name *
Email Address *
Address *
Telephone Number * Hire details:
Dates requested *
Hire cost
Caravan requested Occupants:	(Please complete fully)
Occupant 1 - Name
Occupant 1 - Address
Occupant 1 - D.O.B.
Occupant 2 - Name
Occupant 2 - Address
Occupant 2 - D.O.B.
Occupant 3 - Name
Occupant 3 - Address
Occupant 3 - D.O.B.
Occupant 4 - Name
Occupant 4 - Address
Occupant 4 - D.O.B.
Occupant 5 - Name
Occupant 5 - Address
Occupant 5 - D.O.B.
Occupant 6 - Name
Occupant 6 - Address
Occupant 6 - D.O.B.
*I agree to the Terms and Conditions and understand that damages will be taken from the security depost. I agree
I have sent my booking deposit/full payment including details of the date, my name and caravan via cheque bank transfer; or paypal (if by paypal please add the 5% surcharge)*
Email Form

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