Personal Details

Name *

Ref. number (if known)

Address *

Phone *

Mobile

Email *

Your Holiday

Package type
 Luxury Tent only

Number of tents required *

Total number of people staying *
Adults   Children   Infants (under 2 yrs)

Please enter the beds required in each tent below.
(Please note inflatable mattresses are not suitable for infants. Cots can be provided if required.)

Would you like a gazebo?
 Yes No

Do you need a high chair?
 Yes

Would you like to pre-order a hamper?
 Essentials Luxury None

Would you like a cot?
 Yes No

Are you bringing a pet?
 Yes No

Name of campsite that you are staying at

Date of arrival *

Date of departure *

Payment

A deposit of £80 per tent is required to secure your holiday booking.
Please indicate which of the following methods you would like to use to pay the deposit:

 Cheque BACS transfer Debit/credit card (through PayPal)

Please note, if your departure date is less than 6 weeks away, full payment will be required at the time of booking.

Important: if you would like to pay by BACS transfer or through the PayPal system, we will contact you immediately upon receipt of this booking form to arrange and confirm all payment details. Your booking will only be confirmed once payment has been received.

Please send cheques to Mr C Gordon, 149 Bishopston Road, Bishopston, Swansea, SA3 3EX.

Where did you hear about us?

Comments/Requests

Please check here to confirm that you have read a copy of our terms and conditions. *
 I've read the terms and conditions

Are you happy for Pitch my Tent to contact you with updates and promotions in the future?
 Yes No