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36 NEW STREET - BOOKING FORM

Mr/Mrs/Ms/Miss/other .......... Initial(s) ............. Surname .......................................

Address ......................................................................................................................

......................................................................... Post Code ........................................

Telephone number (home) ...................................... (work) .....................................

(mobile) ......................................

Number in party: adults ............. children ............. babies ............. TOTAL ..........

1st choice of date: from ............................................ to ..........................................

2nd choice of date: from ............................................ to ..........................................

Bookings commence at 3.30 pm and end at 10.30 am             

Cot required:    YES/NO                               High chair required:    YES/NO

To calculate the total cost of the holiday, please consult the date/price list.

 Week 1   _________  The one-third deposit should be enclosed
     with this form except that for bookings made
 Week 2   _________  WITHIN EIGHT WEEKS of the holiday
     starting date the total amount should be
 Week 3   _________  sent with the booking form.
TOTAL PAYABLE  £_________  The balance is due EIGHT WEEKS BEFORE
 the holiday starting date
     
 DEPOSIT £_________  (one-third of total cost)
 
I HAVE MADE A PROVISIONAL TELEPHONE BOOKING: YES/NO
 
I confirm that I am over 18 years of age and that this booking is made in accordance with the
Booking Conditions.

SIGNED ....................................................................... DATE ....................................

Cheques should be payable to "Buckingham Properties" and should be sent with the completed
booking form to:

Buckingham Properties, 101 Coventry Road, Coleshill, Warwickshire, B46 3EX

It would be helpful if you could tell us how you heard about Buckingham Properties:

Newspaper//tourist guide (please state name of publication) .................................................................
Personal recommendation/previous visit/internet (please state which site) ..........................................