BLAGDON FARM EQUIPMENT LIST REQUEST FORM BLAGDON FARM COUNTRY HOLIDAYS
Please tick items required and send appropriate payment with return of this form.

NAME:                                      COTTAGE:                             Hol. Dates                               

£15

 Bottle of Bubbly in cottage or Flowers and Chocolates  

ELECTRICAL
  Digiview Freeview reciever  Standard in all cottages  
1   DVD Player (includes free use of DVD's ) Standard in 5 star cottages
1   Video player (includes free use of videos).  Standard in 4 star cottages
1   Colour portable T.V. with remote control. Standard in 5 star cottages  
2   Micro stereo radio/CD System. Standard in 5 star cottages  

OUTSIDE
2   Reclining garden chair or sunlounger   
2   Sun umbrella (with stand)    

MOBILITY AIDS
1   Manual Wheelchair  
4   Electric wheelchair   
4   Electric scooter (Maximum weight 20 stone)  

SHOWER/TOILET AIDS
    Static shower chair  - Standard in 4 star cottages  
2   Small-wheeled shower chair with brakes  - Standard in 5 star cottages  
2   Wheeled commode over toilet chair with brakes and swing away arms   
2   Self propelled shower/over-toilet with brakes and removable arms   
4   Wheeled shower trolley (Not available Wagtail, Woodpecker, Mallard or Chaffinch)   
3   Raised toilet seat  

BEDROOM   (please indicate for which bedroom they are for eg. twin or double bed)
5   ElectricTilt and Raise Bed (not available in Wagtail, Woopecker,Mallard or Chaffinch)
3   Adjustable back rest 
4   Hoist- please bring your own sling  (not suitable for Doublebed in Mallard & Chaffinch)
4   Monkey pole (not suitable for Doublebed in Mallard & Chaffinch)
3   Bed raisers (not needed for doublebed in Mallard and Chaffinch)
2   Bed rails
3   Blanket support
2   Commode chair
3   Bed table 
3   ‘A ' Shaped pillow 
3   Tubular neck support pillow 
3  Shaped orthopaedic foam pillow 
2   Bed Lever

LOUNGE /KITCHEN
2   High chair / High fireside chair  
2   Cot   
2   Baby highchair / Rocker Chair  
2   Walking frame   
2   Large bean bag   
3   Foam chair cushion   
2   Perching stool   
3    Baby or Toddler 'Bundle' of toys (age                  years and                   months)  

Price Codes                 1   £15.00p per week or £9.00 for midweek/weekend breaks.
                                      2   £9.00p per week or £5.00 for midweek/weekend breaks.
                                      3   £3.00p per week or £2.00 for midweek/weekend breaks.
                                      4   £20.00p per week or £12.00 for midweek/weekend breaks.
                                      5   £80.00p per week or £40.00 for midweek/weekend breaks.
Cheques should be made payable to Blagdon Farm LLP.
Please note: Manufacturers equipment Weight limit is normally = 127Kg or 20 stones
Something We Don't List? Visit LAUNCESTON MOBILITY or RING 01566 774030 and they'll
try to source it and deliver it to Blagdon Farm for your Holiday