Five Gables Cottage Binchester
Self-catering Accommodation Booking Form
Details of Hirer
This is the person to whom all correspondence will be addressed, and who will be deemed to be responsible for payments due.

Title:...........First name: ........................... Last Name:................................................

Address:................................................................................................................................

....................................................................................... Post Code: .................................

Telephone No.: ............................................. Fax No.: .........................................................

E-mail: ................................................................................................................................

Dates accommodation required:

SATURDAY ___________________ to SATURDAY ___________________

NOTE: All hirings start at 4pm on Saturdays and end at 10am on Saturdays.

Names of others in party:

2. Name................................................. 4. Name: ..............................................

3. Name................................................. 5. Name: ..............................................
Please note the cottage has no facilities for infants.
We do not normally accept bookings from persons under 18, nor single sex groups

Hire Charges (See separate Tariff of Charges & Seasons)

No. of Weeks___________ @ £______ per week = £__________

Charges for Pets @ £10 per dog per week = £_______

TOTAL COST £_____________

Non-refundable 10% Deposit* [normally already paid by credit/debit card] £___________
(*The TOTAL COST is payable if booking less than 14 days before start of hiring.)

BALANCE PAYABLE 14 days before start of hiring £______________

  • I understand that a bond of £100 will be required to be paid at the start of the hiring, and that this will be returned at the end of the hiring, less any charges for damage, etc.
  • I will abide by the Conditions of Hire.
  • I have read, and understand, the terms of the Five Gables Cottage Cancellation Policy.


Signed.................................................... (Hirer) Date .......................................

© 2006 Five Gables Cottage - Binchester, Bishop Auckland, Co. Durham