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

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. Cheques made payable to Ann Barnes.