Please print , complete and then post with cheque
Date of arrival:
Date of departure:
Number of weeks staying in house:
Please list names of intended party; please indicate whether adult or child (under 16.)
1.
2.
3.
4.
5.
6.
7.
8.
9.
Name:
Address:
Telephone:
e-mail:
Please work out total rental cost.
Deposit is 15% of total rental cost.
Deposit (needed to make booking) :_______
Total rental cost (due in addition to deposit 12 weeks before arrival):_______
(Cheques payable to A E Brimelow)
I confirm that I have read the terms and conditions and agree to abide by them;
signed:_______________________
date:__________
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