BOOKING FORM

With reference to the terms stated, please reserve the self-catering holiday home called -

"Moonriver, 31 Riverside, Martham, Norfolk, NR29 4RG"  for the period

From                                                                                                To

at £            per week.

Alternatively, please give a second choice of dates in case your first choice is already booked -

I enclose £75 cheque, cash, postal order, etc. as deposit per week, leaving a balance of £                  to pay at least two months before the start of my holiday.  [If your first and second choice are already booked the deposit will be immediately returned to you]. 

Please make Cheques or PO`s in favour of -

Mrs. J. Manners, 153 Marine Drive, Rottingdean, Brighton, BN2 8AA  -  Tel 01273 30 40 10

How did you hear about our holiday home Moonriver, 31 Riverside, Martham, Norfolk NR29 4RG?

Press                 Friend                 Web                  Stayed before                Other

Their will be            persons and        pets  in my party,  £3 per pet per day.

I am over 18 years of age and my name and address is - [BLOCK CAPITALS PLEASE].

 Name 

Address

Postcode

Home Telephone

Mobile Telephone (For emergency contact only)

Email

I agree to be held responsible for the balance of the Hire Terms that become due in accordance with the conditions stated above. Neither Mr. & Mrs. Manners, nor their agents, can be held liable for any injury, damage or loss to tenants or their property. Tenants will be held responsible for any loss or damage to Moonriver, 31 Riverside, Martham, Norfolk, NR29 4RG or its contents.

Signature & Date

Mrs J Manners, 153 Marine Drive, Rottingdean, Brighton, BN2 8AA

Landline 01273 304010          Mobile 0 79 70 77 76 33