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About You
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Office Use
| Type |
|
| Amount |
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| Deposit |
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| Received |
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| Balance |
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| Due |
|
| Received |
|
|
| Name |
| Address |
| |
| |
| |
| Post Code |
| Tel. No. |
| Car Reg. |
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About Your Holiday
|
| Arrival Date |
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How would you like to pay
|
| Departure Date |
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Payment Method |
Tick |
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What would you like to book
|
Cheque for deposit |
|
| |
No. |
Week.MW.WE |
Cost |
Cheque for full amount |
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| Foxglove |
|
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Charge deposit to my card |
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| Lavender/Heather |
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Automatically charge for final payment |
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| Cancellation Protection (see
booking conditions) |
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Card Details
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| Card holder |
|
| Total |
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|
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Card type |
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| Booking Deposit(£50/Unit/Week) |
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Start date |
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| Expiry date |
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| Final Payment (due 21 days
before arrival) |
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Issue No. |
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| Security No. (3 digits on back of card) |
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| Names of Party |
age |
Card No. |
|
| 1 |
|
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| 2 |
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I have read and
agree to abide to the booking conditions |
| 3 |
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| 4 |
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Signature |
| 5 |
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| 6 |
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| |
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