8 Dunluce Cottages
Priestland Road, Bushmills

Booking Form

Name:

 ____________________________________

Address:

 ____________________________________

Tel:

 ____________________________________

Email:

 ____________________________________

Arrival Date:

 ____________________________________

Number of Nights:

 ____________________________________

Leaving Date:

 ____________________________________

Number of Persons:

Adults:

 __________________

Children:

 _________________

Please send a non refundable deposit of £100.00 made payable to

Marion Hood
8 Rosepark
Belfast
BT5 7RG

 Full payment should be received at least 1 month prior to arrival date