BOOKING FOR ROCKERS COTTAGE, TIDESWELL
Name:
_______________________________________________________
Address: _______________________________________________________
___________________________________Post Code ___________
Telephone:___________________ email
:___________________________
Total no of people in party: ________ [Total adults: _____ children: ____]
If bringing a dog please state breed: _____________
(supplement of £20)
HOLIDAY DETAILS
I require Rockers Cottage for (number)
______________ nights
Arriving Saturday, ______________Departing Saturday, _______________
Please indicate if you require Travel Cot _______
or Stairgate _____
PAYMENT DETAILS
RENTAL
PAYABLE (+
pet supplement of £20 if applicable)
£ _____
DEPOSIT
(50% or
full rent if booking less than 8 weeks
before start of holiday)
£ _____
The balance
payable will be due 8 weeks before the start of your holiday.
Please either
make cheques payable to Mr R Lee or transfer funds to:
I agree to forward the balance of rent not less than 8 weeks
prior to the commencement of the holiday. I
have read the terms and conditions and agree to accept the same. I am over 18 years of age and acknowledge that my booking is
for a holiday period only.
I agree to leave the Cottage in a clean and tidy condition, to
make good all damages and breakages, and to vacate the Cottage at the
end of the holiday period booked above.
SIGNED: ______________________________ DATE:
__________
Thank you for
your booking.
Please send the completed booking
form to:
Mrs
A Lee
Bank
Top Cottage,
Meadow
Lane, Millers Dale
Derbyshire
SK17 8SN
Tel:
01298 872462 Email holidays@banktop.co.uk
We will
process the confirmation of your booking upon clearance of your deposit.