Name of party head:
Address:
Town/City:
County/state:
Post/zip code:
Country:
Telephone no:
Mobile no:
Arrival date:
Departure date:
Members of party >>>
Name
Age
Member 1:
Member 2:
Member 3:
Member 4:
Member 5:
Member 6:
Member 7:
Member 8:
Pool heat required?
Yes / No (US$ 125 per week payable locally)
Cost of rental:
£
Non-refundable deposit:
Payable to H Surfleet
£ 100.00
Balance:
Payable 8 weeks prior to arrival
I hereby confirm that I have read and agree to abide by the terms and conditions set out at the www.villadisney.net web site
Signature and date:
