Before sending this form please
ensure you have contacted us to confirm availability of the period
required.
Please print out (CTRL+P) and complete this form then post it along with your cheque to
Mrs P.M.Westcott
'Stonebank'
West Street
Chickerell
Weymouth
Dorset DT3 4DY
Please reserve 'The Annexe' from __________ to __________
At the published price of £ _____________
I am bringing a small pet ( YES / NO ) @ £15 TOTAL £ __________
I require the following beds:
Room 1 (Double) YES/NO
Room 2 (Twin) YES/NO
Number in party _____________
I enclose a cheque for £ __________ payable to Mrs P.M.Westcott being the deposit due of one third. I undertake to remit the balance five weeks before the commencement of the holiday. I confirm that I have read and accept the booking conditions.
Signed ____________________ Date: ____________
Name and address for reply:
Mr/Mrs/Miss/Ms __________________
________________________________
________________________________
________________________________
Post Code _______________________
Tel. No. _________________________
E-mail __________________________
In view of the contractual nature of this agreement you are strongly advised to obtain holiday
cancellation insurance. Directions - Print form and fill out by hand. Post to address at top. If you have any queries please telephone 01305 760120