Name:

____________________________________________

Address:

____________________________________________

 

____________________________________________

Town:

____________________________________________

County:

____________________________________________

Postcode:

______________________

 

Daytime telephone number (including Std Code):           ___________________

Evening telephone number (including Std Code):            ___________________

 

Number of nights:  ______       Starting date:  __________      Ending date:  __________

Total number of adults ______ Total number of children (Under 16 years) ______

I am booking the Brightlycott Midweeker/Weekender* break.

 

Accommodation Requirements.

 

Number of double rooms required = _____

(Only 1 double room available).

 

Number of twin bedded rooms       = _____

(Only 1 twin bedded room available).

 

Number of single bed rooms          =  _____

(Only 1 single room available).

 

 

 

 

The first adult:     

£525 / £168 *         =

£ ____________

Number of accompanying adults:

£260 / £93 *           =

£ ____________

Number of accompanying children:

£121.50 / £46.50 * =

£ ____________

 

Total cost of additional days =

£ ____________

We do/do not* require the door-to-door service.          If so enter the Associated cost =

£ ____________

Total Cost of holiday =

£ ____________

Less 10% deposit =

£ ____________

Overall outstanding balance to pay (no later than 14 days prior to commencement) =

£ ____________

* Delete as applicable.

 

 

Whilst it is not a condition of your booking the above holiday it would assist us with our planning

if you already have an idea of your itinerary during your stay with us.

 

You will not be committed to this itinerary as weather / circumstances may dictate what you wish

to do on any particular day, but it will serve us as a guide to your expectations and help us to

ensure that we can meet your requirements.

 

Day 1:

Day 2:

Day 3:

Day 4:

Day 5:

Day 6:

Day 7:

                                                                                                            Please use back of form if necessary.

Please complete this form and sent it along with your deposit to.

Mrs. J Williams

Brightlycott Cottage

Shirwell Road                           (Please make cheques payable to: Mrs. J Williams)

Burridge

Devon.

EX31 4JJ

 

If you would prefer confirmation of this booking via email then please enter your email address:

                        __________________________________________________