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Name

Date of Arrival

Date of Departure

Mobile Phone

E-mail

Vehicle Registration Number

Pitch (Group bookings contact us directly)

CaravanMotorhomeCampervanTrailer Tent1-5 person tent up to 20m²6+ person tent over 20m²6 Berth Static Caravan (Min of 3 Nights)6 Berth Static (Dog Friendly) (Min of 3 Nights)

Awning/Gazebo:

012

Electric Hook Up:

01

Number of Adults: (min of 2 Adults pitch fee)

23456

Number of Children 3 - 15:

0123456

Number of Dogs:

01234

Extra Vehicle/Trailer:

012

Size/Dimensions of Caravan/Tent/Campervan/Motorhome

Number of nights Fire Pit Rental - @ £10 per night

012345

I agree to the Llys Derwen Terms & Conditions

Total To Pay: £

If you are a human, do not fill in this field

Why not hire one of our traditional cast iron firepits