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<div id="oldform"> <p> To book your stay, please complete the following form. We will confirm availability and request a deposit. This can be done by cheque or postal order through the post. Please do not send cash through the post. Once we have received the deposit, we will confirm the booking. </p> <p> If you need to cancel, please do so at least 7 days prior to your booking. Cancellations made after this time will forfeit their deposit. </p> <form action="formmail.php" method="post"> <table border="0"> <tr><td colspan="2"><h2>Personal details:</h2></td></tr> <tr><td width="30%">*First Name:</td><td><input type="text" name="firstname" size="20" maxlength="30"></td></tr> <tr><td>*Surname:</td><td><input type="text" name="surname" size="20" maxlength="30"></td></tr> <tr><td>*Address:</td><td><input type="text" name="address" size="30" maxlength="40"></td></tr> <tr><td>Street:</td><td><input type="text" name="street" size="30" maxlength="40"></td></tr> <tr><td>*Town/City:</td><td><input type="text" name="city" size="30" maxlength="40"></td></tr> <tr><td>*County:</td><td><input type="text" name="county" size="30" maxlength="40"></td></tr> <tr><td>*Country:</td><td><input type="text" name="country" size="30" maxlength="40"></td></tr> <tr><td>*Post Code:</td><td><input type="text" name="postcode" size="10" maxlength="10"></td></tr> <tr><td>*Phone:</td><td><input type="text" name="phone" size="20" maxlength="30"></td></tr> <tr><td>Mobile:</td><td><input type="text" name="mobile" size="20" maxlength="30"></td></tr> <tr><td colspan="2"><hr></td></tr> <tr><td colspan="2"><h2>Booking Details:</h2></td></tr> <tr><td>*Room Type:</td><td><input type="radio" name="roomtype" value="single" checked>Single <input type="radio" name="roomtype" value="double">Double <input type="radio" name="roomtype" value="family">Family </td></tr> <tr><td>*Number adults:</td><td><input type="text" name="adults" size="3" maxlength="3"></td></tr> <tr><td>*Number children:</td><td><input type="text" name="children" size="3" maxlength="3"></td></tr> <tr><td>*Arrival Date:</td> <td> <select name="arriveday"> <option value="Monday">Monday <option value="Tuesday">Tuesday <option value="Wednesday">Wednesday <option value="Thursday">Thursday <option value="Friday">Friday <option value="Saturday">Saturday <option value="Sunday">Sunday </select> <select name="arrivedate"> <option value="1">1 <option value="2">2 <option value="3">3 <option value="4">4 <option value="5">5 <option value="6">6 <option value="7">7 <option value="8">8 <option value="9">9 <option value="10">10 <option value="11">11 <option value="12">12 <option value="13">13 <option value="14">14 <option value="15">15 <option value="16">16 <option value="17">17 <option value="18">18 <option value="19">19 <option value="20">20 <option value="21">21 <option value="22">22 <option value="23">23 <option value="24">24 <option value="25">25 <option value="26">26 <option value="27">27 <option value="28">28 <option value="29">29 <option value="30">30 <option value="31">31 </select> <select name="arrivemonth"> <option value="January">January <option value="February">February <option value="March">March <option value="April">April <option value="May">May <option value="June">June <option value="July">July <option value="August">August <option value="September">September <option value="October">October <option value="November">November <option value="December">December </select> <select name="arriveyear"> <option value='2012'>2012<option value='2013'>2013<option value='2014'>2014<option value='2015'>2015<option value='2016'>2016<option value='2017'>2017<option value='2018'>2018<option value='2019'>2019<option value='2020'>2020<option value='2021'>2021</select> </td></tr> <tr><td>*Departure Date:</td> <td> <select name="departday"> <option value="Monday">Monday <option value="Tuesday">Tuesday <option value="Wednesday">Wednesday <option value="Thursday">Thursday <option value="Friday">Friday <option value="Saturday">Saturday <option value="Sunday">Sunday </select> <select name="departdate"> <option value="1">1 <option value="2">2 <option value="3">3 <option value="4">4 <option value="5">5 <option value="6">6 <option value="7">7 <option value="8">8 <option value="9">9 <option value="10">10 <option value="11">11 <option value="12">12 <option value="13">13 <option value="14">14 <option value="15">15 <option value="16">16 <option value="17">17 <option value="18">18 <option value="19">19 <option value="20">20 <option value="21">21 <option value="22">22 <option value="23">23 <option value="24">24 <option value="25">25 <option value="26">26 <option value="27">27 <option value="28">28 <option value="29">29 <option value="30">30 <option value="31">31 </select> <select name="departmonth"> <option value="January">January <option value="February">February <option value="March">March <option value="April">April <option value="May">May <option value="June">June <option value="July">July <option value="August">August <option value="September">September <option value="October">October <option value="November">November <option value="December">December </select> <select name="departyear"> <option value='2012'>2012<option value='2013'>2013<option value='2014'>2014<option value='2015'>2015<option value='2016'>2016<option value='2017'>2017<option value='2018'>2018<option value='2019'>2019<option value='2020'>2020<option value='2021'>2021</select> </td></tr> <tr><td>*Number nights:</td><td><input type="text" name="nights" size="3" maxlength="3"></td></tr> <tr><td valign="top">Additional information:</td><td><textarea name="additionalinfo" cols="40" rows="10"></textarea> <tr><td colspan="2"><hr></td></tr> <tr><td>*To ensure you are a real human being, please enter the number:</td><td> <img src="image-text.php?f=7134"><br style="clear:both;"><input type="text" name="number_check"><br><br><input type="hidden" name="checksum" value="7eedc6fbab9e1033ae62bb8f8e723133"> </td></tr> <tr><td> </td><td><input type="submit" value="Make Booking"></td></tr> </table> </form> </div>
