APPLICATION FORM TO RESERVE ACCOMMODATION





Please return this with your deposit to The Old Rectory, Lanreath by Looe, Cornwall PL13 2NU



BLOCK LETTERS PLEASE

Please reserve .............................................................. for the period 	



from   ........................................  to  .......................................   



There will be ........................adults & ........................children in my party. 



The party consists of ......................... males and ......................... females.



The ages of the Children are................................................................



We shall require ............... additional beds at £15 per bed



We shall require towels for ....... people (two towels supplied per person) at £5 per person



Estimated time of arrival is..............p.m.        Number of Cars................... 



Please contact us if your actual time of arrival is likely to vary by more than two hours.



Name.........................................................................................





Address......................................................................................





..............................................................Post Code......................



Telephone

Day........................................   Evening........................................



Signed.......................................................... Date........................

   

               I agree to abide by the Terms and Conditions of Booking for 

            The Old Rectory, Lanreath by Looe, Cornwall. I am over the age of 18 

	        and will be a member of the party using the accommodation.	

	

Please note that Holiday Cancellation Insurance is strongly recommended.



If used please make cheques payable to "The Old Rectory - Lanreath"



I enclose a cheque for sum of £.................being a deposit of one third total rental.

I understand that the balance is due at least 28 days prior to arrival.



I wish you to debit my credit/debit card with 33% of the rental cost on receipt of this

booking form and the balance of this rental cost no earlier than 28 days prior to the start

of my stay. I have supplied my credit card details below or I shall telephone the relevant

details to you. The card belongs to the individual detailed above - otherwise I note that the

actual credit card holders name and address must be supplied separately.



Card Number.................  Expiry date:............



Security Code (7 numbers on rear Signature strip)..............



CARDHOLDER'S NAME.......................................



CARDHOLDER'S SIGNATURE..................................