Booking Request Form

If you'd like to make a booking request please complete the form below. Please check availability, prices, start days and booking conditions first. All bookings are subject to confirmation. If you have any queries please email us. Fields marked * are required fields. Once we receive your booking form we will contact you to confirm prices and dates and to arrange for payment of the deposit

Name of Cottage

 *

Holiday dates
Holiday Start Date
dd/mm/yyyy		 *
Number of nights stay *

Party Details
Number of Adults (over 16 yrs) *
Number of Children (over 18 mths) *
Number of babies *
Pet (only one per cottage)

Contact Information
Title *
Initials *
Surname *
Address including post code or zip code *
Telephone Number *
Other/mobile number
Email *
Re-enter email *
How did you hear of us?
Any message or other requirements?
I confirm I have read the Wildflower Cottages booking terms and conditions.
Click here to review 		*

Copyright Wildflower Cottages 2008
Self catering holiday accommodation in Alton near Ashover in Derbyshire
Tel: 01246 590052     Mobile: 07709 436727     Email: info@wildflowercottages.co.uk