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Please complete the form, print and return it to us, together with the relevant payment due on booking.

How Did You Hear of Us?

NAME OF PARTY LEADER TELEPHONE
ADDRESS FAX
EMAIL

ARRIVAL DAY/DATE: DEPARTURE DAY/DATE: No. OF NIGHTS:
     

MEMBERS OF PARTY
NAME AGE IF UNDER 21 NAME AGE IF UNDER 21
       
       
       
       
       
       
IMPORTANT: Please refer to point "1" in the TERMS & CONDITIONS.

SPECIAL REQUIREMENTS
Complete this section if you require any extra facilities during your stay, E.G. Heated Pool






REMITTANCE REQUIRED
If the booking is made 10 weeks or more BEFORE commencement of the rental period : ENCLOSE DEPOSIT (US$250.00 / GBP 150 per week booked)
If the booking is made WITHIN 10 weeks of commencement of the rental period: ENCLOSE THE TOTAL RENTAL AMOUNT & THE SECURITY DEPOSIT. (Please refer to point "D" in the TERMS & CONDITIONS)
If you wish to pay by credit card please confirm your email address here and we will send you a link to enable you to pay via Paypal. Please note that you will be charged a 3.5% admin fee for this service.

Email address: _________________________________________________

I/we certify on behalf of the person(s) listed on this booking form that I/we have read and accepted the full Booking Terms & Conditions I/we agree to pay the deposit of US$250.00 / GBP150.00 per week booked (non refundable) and the full outstanding balance 10 weeks prior to commencement of the rental period.

Print Name ………………………………….

Signature…………………………………….

Date …………………………………………
 
DEPOSIT
VILLA RENTAL
POOL HEATING
SECURITY DEPOSIT

TOTAL AMOUNT
PAYMENT ENCLOSED
 
 
 
 



Please make cheques payable to Paul Harten and send to:
Mr P Harten, 64 Denby grange, Church Langley, Harlow, Essex CM17 9PZ, UK
Tel: 0800 977 4543 / 0789 494 9993. Fax: 01279 410690
E-mail: paul.harten@btopenworld.com

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