BOOKING FORM

White Rose, Wentworth Close, Polzeath, Cornwall, PL27 6TJ

1. To apply for a booking please fill in this form and send it with 25% deposit of total rent to:

Mrs P Cope, Halstead House, Pugsden Lane, Steventon, Oxon, OX13 6RY. Telephone: 01235 834703

All bookings are subject to confirmation

2. Please complete the following in BLOCK CAPITALS

Name: ………………………………………………………………………………

Address: ……………………………………………………………………………

………………………………………………………………………………………

…………………………………………………Postcode: ………………………...

Telephone number: ……………………………………………………………….

Email Address: .........................................................................................................

3. Please list all names (and ages if under 21) of all persons to be at the property.

Maximum 6 persons.

1. ………………………………………… 4. ……………………………………..

2. ………………………………………… 5. ……………………………………..

3. ………………………………………… 6. ……………………………………..

I intend taking a dog? YES/NO

Dogs are charged at £20 per dog, I have added this to the total amount payable in section 4.

4. Having read the Letting Conditions, the details of the property and this form, I agree the terms and appreciate that completion of this booking form when confirmed by Mrs Henderson creates a binding contract..

Subject to Mrs Henderson’s confirmation, I wish to book the property from:

16:00 Friday ……/…../….. to 10:00 Friday …../…../…..

5. Please delete as appropriate:

· I will take my own bedding and have paid for the price excluding bed linen

· I would like to have bed linen provided and have paid for this service

Please specify which beds you would like made up if paying for bed linen:

Please answer Yes or No:

Bedroom 1	Double Bed	Yes/No
Bedroom 2	Single Bed 1	Yes/No
	Single Bed 2	Yes/No
	Z-bed	Yes/No
Bedroom 3	Single Bed 3	Yes/No

Total Price:

Rental Price:	£         .
Payment for dogs:	£         .
Total Price:	£         .

6. I enclose a deposit of 25% of the total rent: £…………

PLEASE MAKE CHEQUES PAYABLE TO MRS R Henderson(Owner of White Rose) and post to Mrs P. Cope (Booking Agent) at the above address.

7. The balance of the rent is due 8 weeks prior to your holiday. Please note that no reminder will be sent.

8. £150 deposit must be paid 8 weeks prior to your holiday, this will be refunded to you once you have vacated the property and it has been checked for damages or breakages

9. The person making the booking should arrange their own holiday cancellation insurance. In the event of cancellation the balance of the rent is still payable but a refund will be made (less administration costs), should the property be re-let

Signed……………………………………………. Date………………………………

Name in Block Capitals ……………………………………………………………….