I confirm my booking for Symondsbury Manor for ______ people.

Date commencing _____________________ concluding ______________________

Total of _________ nights.

I enclose my deposit of (one third of total price) and agree to pay the balance (subject to Terms and Conditions set out). I also enclose a returnable deposit of £300 on a separate cheque.

Total amount enclosed = ____________________

(If booking within eight weeks of the hire period please enclose the full amount herewith.)

PAYMENT OF BALANCE

BY CHEQUE: Please ensure we receive your cheque at least eight weeks prior to commencement of your holiday, or the booking cannot be guaranteed.

Name of person booking ______________________________
Occupation ______________________________

Address

___________________________________________________________________

Telephone ________________________________
email ________________________________

Names all other guests (please indicate ages of children)
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

I declare that I have read the Terms and Conditions herewith and agree that this booking is made in accordance with them. I confirm that I am over 18 years of age.

Signed _________________________________________ Date _____________

Please forward this form with your deposit. Cheques made payable to P W Hitchin.