BOOKING FORM
PLEASE USE BLOCK CAPITALS


Please return to: Andrew Ross, 245 Whitton Dene, Isleworth, Middlesex TW7 7NJ
Telephone +44 7703 128 492
Full Name: 
Address:
Home Tel: Day Tel:
Fax: Email:
No of weeks required: Arrival date: Departure date:
Number of Adults: No of Children:  

Names of other party members - please give ages of children

 

 
I am authorised to make this booking on behalf of my party. I am over 18 years of age. We are non smokers.

I enclose a non refundable deposit of  £______being 25% of the total holiday cost. I agree to pay the balance of £_______  plus a returnable damage deposit of £200 (cash), 6 weeks before the start of the holiday. (If booking within 6 weeks of the holiday start date the full amount should be enclosed.)

Note: It is advisable to arrange insurance against cancellation of your holiday.
Signature: Date:
Source of this booking is www.petitesecuries.com