Booking Form for Delamere Holiday Bungalows

• YOUR DETAILS

  Your Name	_______________________________________________________
  Address	_______________________________________________________
  	_______________________________________________________
  	_______________________________________________________
  Telephone	_______________________________________________________

• DATES REQUIRED

  Num. Weeks

  __________

  From

  _________________

  To

  _________________

  Alternative Dates

  _______________________________________________________

• NUMBER OF PEOPLE OCCUPYING BUNGALOW

  Adults	______________________	Children and Ages	______________________
  Baby	______________________	Cot Required	______________________

• WHERE FAMILIES ARE SHARING

  Name and Address	_______________________________________________________
  	_______________________________________________________

• A DEPOSIT OF NOT LESS THAN 25% OF THE PRICE IS REQUIRED

  Amount of Deposit Enclosed

  ___________________________________________

• NOTES
  • Cheques payable to: MRS SNOWDEN
  • Send To: ST GILES, 8 WARREN ROAD, ICKENHAM, UXBRIDGE, MIDDX, UB10 8AA
  • A receipt will be sent to you for your deposit.