Contact Name

Relationship to guests

Telephone Numbers

Day:

Eve:

Mobile:

E.mail address:

Address:

Number of guests:

Number of carers:

Names of guests

Names of carers

This is a booking for:

Apple Loft

Swallow Barn

Please note the rental period will commence on Tuesdays at 4.00pm and finish at 10.00am on the last day

Date of arrival:

Date of departure:

Please indicate if you would like a complimentary meal on arrival:

Yes

No

If yes, please indicate any food allergies or dietary requirements:

Payment Details:

Total Value of Holiday:

£

For the deposit I enclose a cheque for:
(£100 per week per apartment required before a booking can be confirmed and is non-refundable.)

£

Please remember that there is no bedding deposit as you are required to bring bed linen and mattress protectors for known night-time incontinence.

Balance:
(Payable 8 weeks before rental commences.)

£

I enclose a cheque for the full payment if I am booking within 8 weeks of the departure date:

£

Security Deposit: Please enclose a separate cheque for this with your final or full payment, dated the last day of your holiday.  Please indicate in the boxes below: (See terms and conditions point 3)

I will provide a security deposit of £500, which will
be enclosed with my final payment:

If I am booking within 8 weeks of the departure date,
 I enclose a security deposit of £500: