Your Details:

Name:

Surname*:

Address*:


Telephone* (include dialing code):

E-mail*:


Preferred Contact Method:

Please select one...... Telephone E-mail Writing

Your Holiday Details:

Please select the Caravan/s you require:

Caravan One - Gold
Caravan Two - Gold
Caravan Three - Silver

The required start date of your holiday is:


Please select the number of weeks you require for the hire of your chosen caravan:

Please select one...... 1 Week 2 Weeks 3 Weeks 4 Weeks 5 Weeks 6 Weeks Short Break

Will you be bringing a dog/s with you (max 2 small dogs):

Please select one...... No Dogs 1 Small Dog 2 Small Dogs

Please select your payment type:

Please select one...... Personal Cheque Paypal