ATLANTIC VIEW BUNGALOWS BOOKING FORMI wish to make the following reservation: Name …………………………………………………………….…………. Address …………………………………………………………….………. …………………………………………….Postcode ………….……….….. Tel: Home …………………………… Work ……..………………………. Bungalow(s) required ……………………………………………….……… From (day of arrival)………………………………………………………... To (day of departure) ………………………………………………………. Please also supply: Use of Sofa Bed ………. Camp Bed …..……….. High Chair …….Cot …..… Towels (sets required) ………….…………… Names of people in party, including ages if under 18 years - 1 ……………………….…………. 2 ……………………………….…….. 3 ………………………….………. 4 …………………………….……….. 5 …………………………….……. 6 ………………………………….….. 7 ……………………………….…. 8 ……………………………………... If less than full occupancy, please state which beds you wish to be made up ……………………………………………………………………………… DECLARATION: I declare that I am over 21 years of age and have read and agree to the Booking Conditions Signature …………………………………… Date ………………………..
PAYMENT I enclose a cheque made payable to ATLANTIC VIEW BUNGALOWS for the sum of £ ……………….. representing *25% deposit/full cost of the booking (including £45 damage deposit) as advised by you OR Please charge my : Type of Card:................................................................................... Card No:……………./……………../……………./……………… Valid From: ………..…………. Expires End: ………….…………. Issue No:.......... Cardholder's Name (as on card) ……………………………………. Cardholder's Signature: ………………………… Date: …………… Address, if different from overleaf …………………………………. ………………………………………………………………………. In the sum of £ ……………… representing: *The full cost of the booking (including £45 damage deposit) as advised by you or *The 25% deposit. Please charge the whole of the invoiced balance, including any extras requested, five weeks prior to the commencement of hire, unless I have cancelled in writing prior to this *delete as appropriate If this is your first visit to Atlantic View Bungalows, could you please tell us how you found us ………………………………….
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