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Mr. / Mrs. / Ms. First Name ______________________________________ Surname ______________________________________ Full Address __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Home Telephone ______________________________________ Work Telephone ______________________________________ I wish to rent the above Holiday Home between the inclusive dates shown below: First Choice from____________ to ___________ Second Choice from____________ to ___________ The other members of my party will be: Mr./Mrs./Ms. Initials Surname Age if under 18 years __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ At £($)__________ per week for _____ weeks = £($)__________ plus £($) __________ per extra day for _____ days = £($)__________ plus Security Deposit £100.00 ($150.00 US dollars) Total Payable = £____________ ($____________US) I enclose a Deposit of £_______________, being £100.00 per week ($150.00 US dollars) or part thereof. Checks to be made payable to J.J. Iles and sent with this Booking Form to the U.K. address shown above. I have read the Booking Terms and Conditions and agree that all Members of my party will be bound by them. I am over 18 years of age. Signed:______________________________ Dated:______________________________ |