Booking Form

Lead Name:

*Title:

*Surname:

*First Name:

*Travel Insurance Policy:

Contact Details

*House Number and Street:

District

*Town/City:

*Postcode:

*Telephone Number:

*E-mail:

Other Guests

Full Name	DOB if under 16	Travel Insurance Policy

Accomodation and transfers

Please indicate which accomodation you wish to book *
Ground Floor Apartment (Available from April 2007)

Top Floor Apartment (From July 2008)

Both ground floor and top floor (From July 2008)

Dates Required

Airport Collection (delete below to indicate):

One way / Return (delete below to indicate):

Additional Comments

Deposit cheques payable to: "Rural Retreats & UK Properties"

Required fields are marked *