Lochhouse Farm Retreat Centre
Beattock, Moffat, Dumfriesshire, DG10 9SG
www.lochhousefarm.com
Email: Browns@lochhousefarm.com -------- Tel: 01683 300451

B&B BOOKING FORM

Thank you for your enquiry. If you would like to book please complete the form and return with
your deposit to the address above.
If you wish to arrive before 4.30pm on the day then this must be by prior arrangement.
Please depart by 10.00am on your last day

If you are walking the Southern Upland Way you may wish to arrange with us particular requirements
re your visit. [i.e. arrival time, arrangements re luggage, laundry and which direction your arriving from.]

Look forward to hearing from you

Yours sincerely, Martin Brown

PAYMENT by Credit or Debit Card - Please detail below.
Cheques payable to Lochhouse Farm Retreat Centre

Surname: ……………………………………….. (Contact person for my family/group)

Forenames: ………………………………………. (Mr/Mrs/Ms)

Address: ……………………………………………………………………….

…………………………………………………………….. Postcode: …………………

Telephone: ……………………………………. Car Reg. No: …………………………

Number People – Adults: ………….. Child under 2: ……. Child under 12: …………

Accommodation required:

– DOUBLE / FAMILY Room en-suite –

- TWIN Room – Private Facilities -

Date of arrival:………… Departure:………… No. of nights:....... Approx time of arrival:.......

Evening Meals Required (£9.95 per head; children under 10 - £6): Yes / No

Pack lunches can also be arranged as required @ £4.50 per head: Yes / No

Any Dietary requirements: ………………………………………………………………

Total due = ………………………… I enclose deposit of (25%) = ……………………

Signed: …………………………………………………. Date: …………………………

Where/how did you find us? …………………………………………………………………..

PAYMENT DETAIL

Type of Accommodation - B&B

B&B balance should be paid on arrival

I enclose a cheque for Full Payment/Deposit (please delete as required) £ .................

Name (as shown on Card): ............................................................

Type of Card: VISA / MasterCard / Delta / Maestro / Solo / other ..............

16 digit Card Number ..............................................3 digit Security Code: ...........

Start Date (debit cards only) MM/YY ................. Issue Number: ................

Expiry Date MM/YY: .......................

Signature: ......................................................... Date: .................................