Lauralee Holiday Villa Bridlington booking form
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Name & Address Please print name & Address if incorrect
Please include E-mail address
Your Phone Number (Please include STD No)
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Home
Emergency contact number / Mobile
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Week No
Arrival Date Saturday
Vacate Date Saturday
No Nights stay
Your Party
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Adults
Teenagers (12 to17 )
Children ( 3 to 12 )
Infants
Your Holiday Payments
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Short Breaks ( Nights )
£
Full Week ( 7 Nights )
£
Two Weeks ( 14 Nights )
£
Mobility Scooter For Hire £30 per week – or part week £6 per day
£
Discount Based on :-
£
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Key Deposit (returned to you after vacating)
£30.00
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Total
£
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Total Deposit £60 Per Week
DECLARATION
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 might occur. No smoking or pets aloud
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I agree to pay the Full Balance Duo 8 Weeks before Arrival Date
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Signature :
Date
Cheques to be made payable to Mr J W Hilton
Please return to
Mr James William Hilton Grange Cottage, 6 Kendal Drive, Bolton on Dearne, Rotherham, S63 8 NJ
