Party leader

Second guest

Title:


Title:


First name:


First name:


Last name:


Last name:


Date of birth:

Not applicable

Date of birth:


Address:


Address:


Telephone number:



Alternative telephone number


email address:


Third guest

Fourth guest

Title:


Title:


First name:


First name:


Last name:


Last name:


Date of birth:


Date of birth:


Address:


Address:


Fifth guest

Sixth guest

Title:


Title:


First name:


First name:


Last name:


Last name:


Date of birth:


Date of birth:


Address:


Address:


Seventh guest


Eighth guest

Title:


Title:


First name:


First name:


Last name:


Last name:


Date of birth:


Date of birth:


Address:


Address:



Arrival date (the house will be available after 4pm)


Departure date (the house must be vacated by 10am)


Total cost (please indicate US$ or UK£


Deposit due/enclosed (please indicate US$ or UK£)


Balance due (please indicate US$ or UK£)


Date balance due (10 weeks before arrival)


The amount and date of the balance payment will be confirmed by the owners with the acknowledgement of reservation

I would like to pay (please select 1 or 2): 1.  Refundable security deposit of $250   or   2.  Non refundable accidental damage waiver of $60/£43. Please refer to our terms and conditions

If you have any questions, require any additional information or have any special requirements, please let us know here:

Declaration

By signing this form, I confirm that I have read, understood and agree to abide by the terms and conditions of townhouse-near-disney either sent to me by email with this booking form or displayed on the website www.townhouse-near-disney.com. A non-refundable deposit payment is enclosed or has been made in accordance with the terms and conditions. I undertake to pay the balance at least 10 weeks before the rental starts. If this reservation is made within 10 weeks of the start of the rental, the full amount is enclosed or has been paid.

Signed by the party leader


Dated


Please return the completed form by email to enquiries@townhouse-near-disney.com or fax to +44 1384 686050 or mail to 12 Rannoch Close, Lakeside, Brierley Hill, West Midlands, DY5 3RP, UK

Townhouse-near-Disney

Booking reservation form