I confirm my booking for The Old Rectory for: ________________________ people
Week/weekend commencing _____________________ concluding ______________________
Total of _________ week/s @ _________ per week

I enclose my deposit of ______________ (one third of total price) and agree to pay the balance as below (subject to Terms and Conditions set out).
I also enclose returnable deposit of £200 against damage. (Please write a separate cheque. This will not be cashed unless needed.)

Total cheque enclosed = ____________________
(If booking within eight weeks of the hire period please enclose the full amount herewith.)

PAYMENT OF BALANCE TO INCLUDE CENTRAL HEATING CHARGE (IF REQUIRED)

BY CHEQUE: Please ensure we receive your cheque at least eight weeks prior to commencement of your holiday, or the booking cannot be guaranteed.

Name of person booking ______________________________
Address __________________________________________
_________________________________________________
Telephone ________________________________

E-mail address:

Names and addresses of ALL other guests (Please indicate ages of children)
___________________________________________________________________
__________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

I declare that I have read the Terms and Conditions herewith and agree that this booking is made in accordance with them. I confirm that I am over 18 years of age.

Signed _________________________________________ Date _____________

Please forward this form with your deposit. Deposit cheques made payable to Philip Lunt, with balance cheques payable to Ann Barnes.

May we remind you that no fireworks are allowed at the Rectory apart from around Guy Fawkes night on November 5th. We also ask you to please be considerate of the people who live in the village as regards the volume of any music. No loud music should be played after midnight.