Gulf Coast Florida Villa –

BOOKING FORM

Please complete all relevant sections and return within 10 days to

If you wish to pay for your booking with a check/ cheque, or return the booking form via post, please email to request the postal address.

DETAILS OF HIRER
NAME OF PRINCIPAL HIRER:
ADDRESS OF PRINCIPAL HIRER: / LINE 1
LINE 2
SUBURB / LOCALITY
STATE / POST TOWN
ZIP CODE / POST CODE
COUNTRY
email address: / Telephone: / Fax:
DETAILS OF STAY
DATE OF ARRIVAL: / DATE OF DEPARTURE: / TOTAL NIGHTS:
Arrival after 4pm & Departure before 11am - UNLESS BY PRIOR ARRANGEMENT
PLEASE LIST ALL PERSONS IN YOUR PARTY, INCLUDING THOSE AGED UNDER 25*
TITLE / INITIALS / SURNAME / *AGE
APPLICABLE CHARGES
USD $ / GBP £
SECURITY DEPOSIT DUE / $400 / OR / £250
(NB: This must be paid at the time of booking & will guarantee the booking period. This will be returned to you after the rental inspection at the end of your holiday)
PLUS CLEANING SERVICE PER RENTAL PERIOD / $110 / £80
PLUS TOTAL RENTAL DUE FOR PERIOD REQUESTED / $ / £
TOTAL CHARGES / $ / £
(NB: This must be paid no later than 2 months before departure)
PAYMENT REQUEST
Please tick the relevant box below:
I would prefer to pay by check/ cheque, please send me the relevant postal address.
I would prefer to pay electronically, please send me the relevant bank account details.
Please make check/ cheque payable to Nicky Hollywood
CANCELLATION CHARGES (AS PER TERMS AND CONDITIONS)
  • More than 2 months: Deposit only
  • Less than 2 months: 100%
Please telephone prior to sending your deposit to check availability of your chosen dates.
Telephone reservations can be held for 7 days, pending receipt of deposit and booking form.
I agree and accept the terms and conditions of booking as stated on behalf of the persons named on this form and confirm that I am authorized to act on their behalf.
I confirm that I am over 25 years of age and I have read the booking terms and conditions.
Print name:
Signature : / (If returning form electronically, we accept your email footprint in lieu of signature)
Date:
If you would like assistance with navigating to the Villa, please indicate:YESNO
If Yes, from which Airport / Highway / City etc.
We continually strive to make your stay as pleasant as possible. As part of this we value your feedback and would be grateful if you could take a few minutes to complete the following questions.
How did you find out about us?
What made you book with us?
Is there anything that could be done to enhance the booking process?
FOR OFFICE USE
Booking Reference
Deposit Paid / Date
Balance Due / Date
Returnable Deposit / Date

Version 2.0_10/Jan/2013

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