HOLIDAY VILLA BOOKING FORM 

Please complete and sign the form below and forward it to us with a deposit of £100 for each week’s desired rental. 
The Deposit paid by you is non refundable in the event that you cancel your booking. Upon receipt of the form and deposit we will confirm your booking in writing.

TRAVEL DATES

Arrival date (at the Villa): ……….........…..  Departure date (from the Villa): ………………………..  No of nights:  …………………

YOUR DETAILS

Name: ……………………………………………….……….     Home telephone number: ……………………...……

Address: …………………………………………….……….     Work telephone number: …………………………… 

……………………………………………………………….     Mobile telephone number: ……………………..……

……………………………………………………………….     E mail: ………………………………………….……

Zip Code/Post Code: ……………………………………….    Dial/Area Code: …………………..………………….

DETAILS OF YOUR TRAVEL PARTY: (including yourself, the Villa is equipped to accommodate 10 persons)

1 . Name .......................................................  Address ..............................................................................................   Age ........................ 

2 . Name .......................................................  Address ..............................................................................................   Age ........................ 

3 . Name .......................................................  Address ..............................................................................................   Age ........................ 

4 . Name .......................................................  Address ..............................................................................................   Age ........................ 

5 . Name .......................................................  Address ..............................................................................................   Age ........................ 

6 . Name .......................................................  Address ..............................................................................................   Age ........................

7 . Name .......................................................  Address ..............................................................................................   Age ........................ 

8 . Name .......................................................  Address ..............................................................................................   Age ........................

9 . Name .......................................................  Address ..............................................................................................   Age ........................ 

10. Name ......................................................  Address ..............................................................................................   Age ........................

Pool Heating       Y/N  ……… Weeks ………..

PLEASE NOTE THAT IN ADDITION TO YOUR BOOKING FEE YOU WILL BE REQUIRED TO PAY A NON-REFUNDABLE INSURANCE PAYMENT TO OUR MANAGING AGENTS WHEN YOU ARRIVE AT THE VILLA. 

THE RATE IS APPROXIMATELY $17 (US) PER WEEK.  INSURANCE RATE IS SUBJECT TO CHANGE WITHOUT PRIOR NOTICE.

I enclose a cheque for $/£ ……. Booking deposit which I know is non refundable to me.  I understand that the balance of
$/£ ……………….  
Is due on or before ………………   date (please fill in the balance and the date of 8 weeks prior to departure)

Please make cheques payable to F and B Walsh, and send to:

 53 Newton Way, Woolsthorpe by Colsterworth, Grantham, Lincolnshire, NG33 5NP England

DECLARATION

I accept for myself, and on behalf of the other persons named above, the Terms and Conditions of booking.  I confirm that I have read the Terms and Conditions.  I confirm that I am aware that the Terms and Conditions constitute a legally binding agreement.  I am not aware of any circumstances likely to lead to cancellation or a claim being made under any circumstances.  I am over 18 years of age.

Signed: ………………………………………………  Date: ………………………  Print Name: ……………..………….………….. .