Rhandir Booking Form

Please confirm availability by E mail or telephone first, then read the terms and conditions, print this form and send it with your £100 deposit. The balance is payable 6 weeks before the holiday including a £250 breakages deposit, refundable as per terms & conditions. Cheques should be made payable to Mr. M. Goucher and sent to:

M. Goucher
P O Box 9258
Bromsgrove
Worcs, B61 9EB

You can fill in the details on your computer before printing - (However if you do not have a printer, please email or post to us the holiday dates required, your name, address, telephone number (and email if you have one) and the names of your group, with the ages of those under 18.

Name of person making the booking.

Postal Address including Post Code

Telephone Number

Mobile Number
Email Address

Arrival Date

Leaving Date

Names of all persons in your party, Ages if they are under 18
1.	3.
2.	4.

Cost of Holiday (inc £100 deposit) as shown on availability page

Cleaner required @ £35	£
Breakages deposit refundable as per terms & conditions	£ 250

Total Cost	£
Balance payable 6 weeks prior to holiday (incl £250 breakages deposit)	£

I have read and agree to the Terms and Conditions for renting Rhandir and enclose £100 booking fee. I will send the balance payment 6 weeks prior to my departure date.

Signed

Date