BOOKING FORM

With reference to the terms stated, please reserve the self-catering holiday home called "Rose Cottage, 1 Woodland Terrace,  Kingswear, Dartmouth, Devon, TQ6 0BZ" for the period

From

To

at £            per week.

Alternatively, please give a second choice of dates in case your first choice is already booked -

I enclose £75 cheque, cash, postal order, etc. as deposit per week, leaving a balance of £                  to pay at least two months before the start of my holiday.  [If your first and second choice are already booked the deposit will be immediately returned to you].  Please make Cheques or P.O.`s in favour of Mrs. J. Manners, 153 Marine Drive, Rottingdean, Brighton, BN2 8AA.

How did you hear about our holiday home Rose Cottage, Kingswear, Dartmouth, Devon?

Press                 Friend                 Web                  Other

Their will be            persons in my party.  I am over 18 years of age and my name and address is - [BLOCK CAPITALS PLEASE].

 Name 

Address

Postcode

Home Telephone

Mobile Telephone (For emergency contact only)

Email

I agree to be held responsible for the balance of the Hire Terms that become due in accordance with the conditions stated above. Neither Mr. & Mrs. Manners, nor their agents, can be held liable for any injury, damage or loss to tenants or their property. Tenants will be held responsible for any loss or damage to Rose Cottage, Kingswear, Dartmouth, Devon or its contents.

Signature & Date