Booking Form

Start Date.........................                                End Date ........................................

Full Name ................................................               Names of Party

Address ..................................................                 1. ....................................................

...............................................................                    2. ....................................................

...............................................................                    3. ....................................................

...............................................................                    4. ....................................................

Telephone No. .........................................              5. ....................................................

Mobile No. ..............................................

Email .....................................................

Cost of Holiday                                  £ ...................................

Less Discount (if applicable)              £ ...................................

Charge for Pets (if applicable)           £ ...................................

Refundable Bond (if applicable)         £ ...................................

Total Cost                                          £ ...................................

Less Deposit                                       £ ...................................

Balance Due                                       £ ...................................

Due Date                                               ....................................

I enclose my deposit/full payment of £.................... (please make the cheque payable to Miss A Miller)

DECLARATION:     I can confirm that I am aged 21 or over and I have read and understood the terms and conditions. I agree on behalf of all the named persons in my part to abide by the terms and conditions. I also understand that my deposit is non-refundable.

Signature ........................................................                           Date ................................

Please print this page, complete and return with your deposit to:
Alison Miller, Holiday In Norfolk, 23 Eastfield Road, Leicester, LE3 6FE