Ruthern Valley Holidays

Your Name:

Title: First Name: Surname:

Please type in your full Postal Address:
(including your Post/Zipcode and Country please or type "none")

Your Daytime Tel. No:  inc. area code or type "none"

Your Evening Tel. No:  inc. area code or type "none"

Your Email address:      or type "none"

Would you like to order a brochure ?

No thanks   Yes please

Where would you like to stay?

Please select where you would like to stay

No preference   Self Catering Accommodation  Pitch  

Self Catering Accommodation

Please select which Self Catering Accommodation
( Lodge, Static Caravan, Glamping Wigwam, Camping Pod, or Bungalow ) you require:

No preference   Lodge   Caravan     Bungalow 
Glamping Wigwam 
Camping Pods 

Pitches for Touring Caravan, Tent or Campervan

Please select which pitch you require

Pitch for Campervan   Pitch for Touring Caravan   Pitch for Tent  

Please select the dates you wish to stay

(If you dont yet know an exact date just select the month and year)

Number in party:

We do not take single sex parties or unaccompanied teenagers. Thank you.
Adults:   Males 0 males 1 male 2 males 3 males 4 males 5 males 6 males 7 males 8 males 9 males 10 or more    Females 0 females 1 female 2 females 3 females 4 females 5 females 6 females 7 females 8 females 9 females 10 or more    ... No children 1 child 2 children 3 children 4 children 5 children 6 children 7 children 8 children 9 children 10 or more under 18

Any other requirements or comments please type them here
eg Ages of Children. Pets. One well behaved pet will be considered but not during July/August High chairs. Cots. Disabled. How you found us. Did you like our page ? Did you like Cornishlight ? Anything else ?

For an instant response please print out and fax this completed form to us. You can also print a copy of this form before sending for your records. This is not a Booking Form. Thank You

Press only once. Please allow up to 30 seconds for this form to be sent. Thank you for your patience.

Thank you for your Enquiry We will Contact You as soon as possible.