Today's Date:

*

Name of First Person:

*

Name of Second Person:

Name of Third Person:

Name of Fourth Person:

Street Address

*

Address (cont.)

*

City

*

State/Province/County

*

Zip/Postal Code

*

Country

Telephone Number:

*

E-mail Address:

*

Accommodation Required:

Dates Required: 

From: 4:00PM Arrival Date *

To:   10:30AM Departure Date *

Number of Nights

*

Number of Adults:

*

Number of Children:

Please tick if required:

Cot @ £5 each per week or short break

High Chair @ £5 each per week/short break

How would you like to pay?

PayPal (please see at end of form) *

Cheque made payable to Mrs. Julie Baker *

Direct into Santander Bank (we will email details) *

Amount of Deposit (Minimum £100 per week)

£ *

Amount Owing: (To be paid 4 weeks prior to arrival)

£ *

We agree to abide by the Booking Conditions:

Yes *        No

Will you require free storage for bikes?

Yes        No

How many Bikes?

Where did you see our advertisement?

*

It would be appreciated if you could advise us of your approximate time of arrival after 4:00PM.

PM *