Booking Form

Please print , complete and then post with cheque

Rental period

Date of arrival:

Date of departure:

Number of weeks staying in house:

Names of party

Please list names of intended party; please indicate whether adult or child (under 16.)

1.

2.

3.

4.

5.

6.

7.

8.

9.

Contact details for lead member of party

Name:

Address:



Telephone:

e-mail:

Booking Costs

Please work out total rental cost.
Deposit is 15% of total rental cost.

Deposit (needed to make booking) :_______

Total rental cost (due in addition to deposit 12 weeks before arrival):_______

(Cheques payable to A E Brimelow)

Signature

I confirm that I have read the terms and conditions and agree to abide by them;

signed:_______________________

date:__________