Please contact the owner on 01305 760120 to check up to date availability and then send deposit with this form to Mrs P M Westcott, Stonebank, West Street, Chickerell, Weymouth, Dorset, DT3 4DY.
(Please make cheques payable to Mrs P M Westcott).

I undertake to remit the balance five weeks before the commencement of the holiday.

Please provide the following contact information:

Title
First Name
Last Name
Address
City
State/County
Zip/Postal Code
Telephone (home)
FAX
E-mail


Today's date:
Please reserve "The Annexe"	from:	to:
at the published price of Ł
I enclose a cheque for		being the deposit due of one third.
I am bringing a small pet	Yes	No
If Yes, please add Ł10.00.	Total Ł
The breed of my pet is:

I require the following beds:
Room 1 (Double)	Yes	No
Room 2 (Twin)	Yes	No


Number in party

I confirm that I have read and understand the Booking conditions

SIGNATURE

In view of the contractual nature of this agreement you are strongly advised to obtain holiday cancellation insurance.