Lauralee Villa Bridlington

                                                    Booking Form

Name & Address Please print name & Address if incorrect

                                                                                                                                                                      Car Reg

Please include E-mail address                                                                                                                  Parking permit No

           Your Phone Number (Please include STD No)


Emergency contact number / Mobile

Week No

Arrival Date

Vacate Date

No Nights stay

           Your Party


Teenagers (12 to17 )

Children ( 3 to 12 )


            Your Holiday Payments

Short Breaks ( 2 Nights ) (recommend you order a on-street car parking Permit)


Full Week ( 7 Nights ) (1 Free on-street car parking permit)


Two Weeks ( 14 Nights ) (2 Free on-street car parking permit)


Cot if Required No Linen supplied

Key Deposit (returned to you after 14 days of vacating) o£30 n hold from last booking


Via Pay-pal there is a 5% Service surcharge


Discount for Returning Guest


Total Grand Balance


Deposit Paid


Total Balance



I have accepted the Term & Conditions of hire and I am 18 and agree to be held responsible for the balance of hire for the property Duo in accordance with the booking conditions and to be responsible for any damages that may occur.

No smoking or pets aloud

I agree to pay the Full Balance Duo 8 Weeks before Arrival Date

Signature :


Cheques to be made payable to Mr J W Hilton

By invoice via a Pay-Pal Account By request

or Bank Transfer with arrangements by Mr J W Hilton

Please return to, Mr James William Hilton Grange Cottage, 6 Kendal Drive, Bolton on Dearne, Rotherham, S63 8NJ