Lauralee Holidays Bridlington


                                  Booking form



Name &Address Please print name &Address if incorrect






Email Address Car Reg


Your Phone Number

Home


Emergency contact number / Mobile



Week No

Arrival Date

Vacate Date

No Nights stay


Your Party

Adults


Teenagers (12 to17 )


Children ( 3 to 12 )



Your Holiday Payments

Short Breaks ( 2 Nights )

£

Full Week ( 7 Nights )

£

Two Weeks ( 14 Nights )

£

Cot if Required No Linen supplied

Free

Discount Based on :- 5%


Car Parking Permits Free (Not Reqiured if Blue Badge holder )

£

Damage Deposit ( returned in 14 days after inspection )

£60.00


Total Balance

£

Total Deposit £100 per Week

£

Total Balance Due

£

DECLARATION

I have accepted the Term & Conditions of hire and I am 18 and agree to be held responsible for the balance of hire for the property Duo in accordance with the booking conditions and to be responsible for any damages that occur. No smoking or pets aloud



I agree to pay the Full Balance Duo 8 Weeks before Arrival Date

Signature :

Date

If Possible please pay via Bank Transfer Mr J W Hilton 05-06-66 Account no 37895524 

with agreement the Balance can be paid by Instalments                                          Return to   Mr James William Hilton                                                              Grange Cottage, 6 Kendal Drive, Bolton on Dearne, Rotherham, S63 8 NJ