Block Capitals only please

Full Name:

Address:

Home Telephone Number:

Daytime Telephone Number:

Mobile Telephone Number:

Email Address:

Holiday Start Date:

Rental Period (weeks):

Number of adults in your party:

Number/age of children in your party:

Total Rental Price:

£/€

25% Deposit:

£/€

(pay now with confirmation)

Sub Total after deposit:

£/€

Security Deposit:

£400 / €600

(due 8 weeks before rental)                         (will be returned within 2 weeks after rental in accordance with terms & conditions)

Final Payment Due:

£/€

(due 8 weeks before rental)

The 25% deposit (confirmation of booking) is NOT refundable.  You are advised to take out an insurance policy with a cancellation clause.

I have read all the terms and conditions (2009) and accept them on behalf of all of my party who will be residing in the rented property, on whose behalf I am duly authorised to make this agreement. (I am over 18 years of age)

Signed :                                                                          Dated:

Cheques should be made payable to A.M.Bishop.