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)

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 ( 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

£30.00

Via Pay-pal there is a 5% Service surcharge

£

Discount for Returning Guest

-


Total Grand Balance

£

Deposit Paid

£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 may 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

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