ONLY FILL IN AND SEND THIS FORM IF YOU WANT TO MAKE A DEFINITE BOOKING. FOR GENERAL ENQUIRIES USE THE FORM FOUND ON THE CONTACT US PAGE. ALL INFORMATION MARKED WITH A RED 'R' IS COMPULSORY FOR THE FORM TO BE SENT.

Full Name: R		Email Address: R
Address : R		Confirm Email Address : R
		Post Code : R


Telephone Number
1st No. ( i.e. Home) : R	2nd No. ( i.e. Office) :	3rd No. ( i.e. Mobile) :


Preferred Dates YOU CAN NOT ARRIVE ANY EARLIER THAN 4PM
Arrival : R	- -	Departure : R	- -
	i.e. 01-08-2007		i.e. 10-08-2007
Group Number : R		Aprox Time Of Arrival : R
Do you need?
High Chair :
Cot :

Deposit Sent : (£)		Amount of balance due : (£)
I have sent a cheque to Ruth Lowe, The Radar House, Skendleby, Spilsby, Lincs PE23 4QA I have made a direct transfer to Premier Properties

How did you hear about us?
Premier Cottages:	Country Cottages Online :	The Big Domain :	Internet Search :	Other :


If you ticked the box labeled 'Other' above please tell us more on how you found us:

Additional Information:

We take a £500 security deposit which must be received with the balance payment. It will be sent back to you once the property has been cleaned and we have checked no damage has been done to the property or its contents. The cost of any such damage and of any exceptional cleaning required will be deducted from this deposit. R By ticking the box to the left you are confirming that you have read and agree to our Terms and Conditions along with the paragraphs above. You also agree that all infomation you have supplied is correct.

Todays Date	21-05-2012
Security Code - Please enter the following characters