Please print this form off and post it back to the address below

SUNCOT CROYDE BOOKING FORM

 

 

Full Name

 .......................................................................................................................

Address

 .......................................................................................................................

 

 

Tel. No.

 .....................................

Mobile Number

 .....................................

E-Mail Address

 ...................................................................................................................

Dates Required

 ......../............/................./............/................/............../..............................

Number of Guests

 ............

 Please note only people listed below can stay in the house

 Please tick your age group

Name of Guest 1

............................................

Age under 18

......

18-25

......

Over 25

......

Name of Guest 2

............................................

Age under 18

......

18-25

......

Over 25

......

Name of Guest 3

............................................

Age under 18

......

18-25

......

Over 25

......

Name of Guest 4

............................................

Age under 18

......

18-25

......

Over 25

......

Name of Guest 5

............................................

Age under 18

......

18-25

......

Over 25

......

Name of Guest 6

............................................

Age under 18

......

18-25

......

Over 25

......

Tariff per week / weekend

£..................

Linen can be provided at £5.00 a bed

£..................Double// 2 Single //2 Single//

Total Amount

£.................

Deposit being 1/3 of the total due

£.................

 

 

Remaining Balance

£.................

Credit / Debit card details for ID only

 

 

Credit/debit card number...................................................

 

 Expiry Date ......./..... Issue number...............

 

 Security number, last 3 numbers from back of your card ............

 

 

Balance due not later than 6 weeks before commencement of holiday

Comments/Instructions

 .......................................................................................................................

 

 

 

 

 

 

 Signed and dated

 ............................................................../.........../............../........................

 

 

 

 I confirm that I have read and agree to the Tariff Terms and Conditions

Please post to: 119 Littlesutton Road Sutton Coldfield West Midlands B75 6PU
Please make cheques payable to Martin Pearce