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BOOKING FORM |
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Booking Form (please print off or send for copy) |
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Name of Hirer: |
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Address of Hirer: |
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- House or flat number or name: |
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- Street name: |
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- Town: |
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- County: |
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- Post Code: |
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Contact telephone numbers: |
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- Home: |
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- Mobile: |
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- Work: |
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E-mail address: |
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Please give first and family names, age, and sex of all members of your party, including the Hirer |
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Name |
Age |
Sex |
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M/F |
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M/F |
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M/F |
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M/F |
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M/F |
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Arrival Date: |
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Departure Date: |
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Cost of Rental: |
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I declare that I am over 18 years of age and have read and agree to abide by all the terms and conditions contained within the Booking Conditions page on the website and agree to pay the balance at least 8 weeks before commencement of my holiday. |
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Signature: |
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Date: |
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I enclose £100 Reservation Fee OR |
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If the booking is made less than 8 weeks prior to the start of your holiday, |
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I enclose: |
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Total Rent |
£ |
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Security Deposit |
£ |
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Total Enclosed |
£ |
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Please make cheques payable to R.M.B. Prosser OR |
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For internet transfer, please e-mail midwayscottage@hotmail.co.uk for details. |
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Please send booking form to address shown on Contact page. |
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