
TITLE:
INITIALS:
SURNAME:
ADDRESS:
POSTCODE:
PHONE NUMBER:
FAX NUMBER:
E-MAIL:

DATE OF ARRIVAL:
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DATE OF DEPARTURE:
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TOTAL NUMBER OF NIGHTS:

RENTAL DEPOSIT:
£150 SECURITY DEPOSIT
TOTAL BALANCE:
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TITLE / INITIALS / SURNAME:
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I agree, on behalf of all my party, to the enclosed conditions of
rental
Please make all cheques payable to T.FIELDING |