Booking Form
Full Name (Mr/Mrs/Miss):
House Name:. Street
Declaration: On behalf of the persons included on this form, I am authorised to make this booking and agree with the terms and conditions. I understand that only persons named on this form may occupy the accommodation unless previously agreed in writing.
I Agree. Please submit this form to us by clicking on Submit Button below.
Please make your deposit cheque payable to P N Purkis and pay into our account, or execute a credit transfer to our bank, details of which will be sent to you on receipt of this booking form (normally within 24 hrs.)
Confirmation of your booking will be sent by email when we receive your deposit payment in our account.