BOOKING FORM

ES Luxury Villa - 1669 Waterview loop, Southern Dunes, Haines City, Florida

Please print* this booking form, complete it, and send it with your deposit to
E & S Brear, 7 Carla Beck House, Carla Beck Lane, Carleton, Skipton, BD23 3BQ, UK.

* To print, simply select the booking form area of this page with your mouse then click "File" on your toolbar,
then Print, then choose "Selection", then click Print.

Guest's Name ........................................................................................................................................................

Address ................................................................................................................................................................

.............................................................................................................................................................................

.................................................................................................................  Post Code ..........................................

Day Tel .....................................................  Eve Tel ......................................................

Arrival Date ................................................  Departure Date .........................................

Number in Party .......................

Details of Party Members

1 (Party Leader)  .................................................................  6  .............................................................................

2  .......................................................................................  7  .............................................................................

3  .......................................................................................  8  .............................................................................

4  .......................................................................................  9  .............................................................................

5  .......................................................................................  10  ............................................................................

Other Requirements - Please tick if required

Pool Heating - cost per week £50/$85 USD.     Cot - $35 USD.     High Chair - $35 USD.

I agree that in the event of any problem arising during my holiday, I will contact the local Management Company. Failure to do so will result in no liability being accepted in respect of subsequent claims received.

I certify on behalf of the persons included on this booking form that I am authorised to make this booking.

I have read and agree to the terms and conditions as set out in the details on the Terms and Conditions page of the website.

I enclose a cheque for £150 for the Non–Refundable Deposit.

Completed Booking Form and Non–Refundable Deposit is to be returned within 7 days of confirmation of availability.

I agree to pay the Final Payment (balance) in full, no later than 8 weeks prior to Arrival Date.

All cheques to be made payable to Mrs E Brear.

I agree to pay the Security Deposit/Bond with Final Payment     £175     $300 USD.


Signed .........................................................................................     Date .............................................................