BOOKING REQUEST FORM

Please print clearly in BLOCK CAPITALS.  NB: THE BOOKING NAME should be the name of your party leader (the person who is legally responsible for all aspects relating to this booking and to whom all correspondence will be forwarded).

Name (Mr/Mrs/Miss/Ms)_________________________________________________________________________________

Address ______________________________________________________________________________________________

Post Code__________________________ e-mail:______________________________________________________________

Tel: (home) _______________________________________    (work) _____________________________________________

DETAILS OF PARTY MEMBERS (Number of occupants will be verified by local management company)

	TITLE	INITIAL	SURNAME	ADULT/CHILD/INFANT (A/C/I)
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             We the above named, wish to rent your villa as detailed below:

Date of Arrival __________________________(after 4pm)  Date of Departure ___________________________(before 10am)  

VILLA RENTAL

(     ) weeks @ £ ____________   (     ) weeks @ £ __________   (     ) weeks @ £_________   TOTAL £ ______________

POOL HEAT                                              JACUZZI HEAT                    POOL & JACUZZI

(     ) weeks @ £ ____________   (     ) weeks @ £ __________   (      ) weeks @ £ ________   TOTAL £ ______________

GRAND TOTAL £________________

I hereby certify on behalf of the above named persons by whom I am authorised to make this booking and conduct all aspects relating to this booking consisting of the items shown above, that I am over 18 years of age, and I have read and agree to the Booking and Payment / Terms & Conditions as supplied.

I enclose the required booking deposit of £ ……………….. (£150 per week) and hereby agree to forward the full balance, plus the Security Bond, NO LATER than 10 weeks prior to the date of departure.

Signature: __________________________________________(party leader) Date:_________________

Note: For bookings within 10 weeks of departure, the full amount (include. Security Bond) is payable immediately.

Cheques should be made payable to “ Michelle Quinton-Holt” and forwarded together with this booking form to:  Michelle Quinton-Holt, Riverlodge, 120 Imperial Avenue, Maylandsea, Essex CM3 6AJ

If you have any queries please telephone 01621 742059