Lauralee Holidays Booking Form

Name & Address









Please include E-mail address Car Reg


           Your Phone Number (Please include STD No)

Home


Emergency contact number / Mobile


Week No

Arrival Date

Vacate Date

No Nights stay


            Your Party

Adults


Teenagers (12 to17 )


Children ( 3 to 12 )


Infants


             Your Holiday Payments

Short Breaks ( 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)

£

Key & Damage Deposit (returned to you after 14 days of vacating)

£50.00

On-street Car parking permit £5 each, Recommend for short stays, or extra permits

£

Service surcharge

£

Discount Based on :-returning client Saving £



Total Grand Balance

£

Deposit

£60.00

Total Balance

£

            DECLARATION

               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 might occur. No smoking or pets aloud

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

Signature :

Date

               Cheques to be made payable to Mr J W Hilton or payable via Pay-Pal but there is 5% service charge

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