ONLINE BOOKING FORM
* NAME OF PARTY LEADER :
ADDRESS :
NO. IN PARTY ADULTS/CHILDREN :
DAYTIME TEL :
EVENING TEL :
* EMAIL ADDRESS :
NAMES OF ACCOMPANYING PARTY
SURNAME FIRST NAME AGE (IF UNDER 21)
ARRIVAL DATE (D/M/Y) DEPARTURE DATE (D/M/Y) NO. WEEKS
AGREED WEEKLY RATE :
TOTAL RENTAL = AGREED WEEKLY RATE x NO. WEEKS
REFUNDABLE SECURITY DEPOSIT OF £200.00 / $320.00
OPTIONAL EXTRAS
POOL HEATING AT £12.00 / $20.00 PER DAY
TOTAL PAYABLE
LESS DEPOSIT OF £100.00 / $180.00 PER WEEK
BALANCE DUE 10 WEEKS BEFORE DEPARTURE

PLEASE MAKE ALL CHEQUES PAYABLE TO G BARGE

Tel: 024 76 545767 OR 07703 475 760

EMAIL: gillian.barge@btinternet.com
WE ALLOW 8 + 1 cot SLEEPING, 9 IN TOTAL.

I CONFIRM THE ABOVE DETAILS TO BE CORRECT AND THAT I UNDERSTAND THAT WE ARE RENTING A PRIVATE VILLA, ACCEPTING THAT WE ARE RESPONSIBLE FOR OUR OWN PERSONAL SAFETY.

I HAVE READ AND ACCEPT THE ENCLOSED BOOKING TERMS AND CONDITIONS ON BEHALF OF MYSELF AND OTHER MEMBERS OF MY PARTY.I CONFIRM THAT I AM OVER 21 YEARS OF AGE.

* Please tick the box to acknowledge that you have read and comply with the statement above and agree to our terms and conditions.