BOOKING FORM

Guest Details and Age (if under18)

Name:

1................................................................ 2...................................................................

3................................................................ 4...................................................................

5................................................................ 6...................................................................

7................................................................ 8...................................................................

9............................................................... 10……...............................…………......……..

11.............................................................. 12…………….............................………......….

13………………………………………………… 14………….........……………………………........

Name and address for correspondence:

...................................................................................................

.....................................................Post Code..............................

Tel................................................

Dates Required

From............................. To........................

*Optional Extras*

*Pool Heating*	*Yes/ No*


*Baby Equipment*	Included is one cot and one high chair

I enclose a deposit of £ ........ (£150 per week) ($240 per week)

CONDITIONS

The signing of the booking form confirms acceptance of the terms and conditions set out on behalf of all party members. As published on the web site http://www.rustinpeace.co.uk/VILT&C.HTM

SIGNED............................................... Date.......................

PLEASE MAKE ALL CHEQUES PAYABLE TO: Keith Rust

Credit cards may be acceptable although there is a 3% surcharge, payment by PAYPAL is also acceptable

AND RETURN THE FORM TO;
Mr K Rust, 84 South Street, Tillingham, Essex, CM0 7TH

Telephone 01621 779477