Lauralee Holidays Bridlington

                                  Booking form

Name &Address Please print name &Address if incorrect

Email Address Car Reg

Your Phone Number


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 )


Full Week ( 7 Nights )


Two Weeks ( 14 Nights )


Cot if Required No Linen supplied


Discount Based on :- 5%

Car Parking Permits £5 Each (Not Reqiured if Blue Badge holder )


Damage Deposit ( returned in 14 days after inspection )


Total Balance


Total Deposit £100 per Week


Total Balance Due



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 occur. No smoking or pets aloud

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

Signature :


If Possible please pay via Bank Transfer Mr J W Hilton 05-06-66 Account no 37895524 

with agreement the Balance can be paid by Instalments                                          Return to   Mr James William Hilton                                                              Grange Cottage, 6 Kendal Drive, Bolton on Dearne, Rotherham, S63 8 NJ