Booking form Booking form for your holiday rental HOLIDAY RENTAL BOOKING FORM PART B Booking Reference: To confirm your booking you must fully complete this form and make the payment that is due Party Leader: Title: First Name: Last Name: Address: City: Postcode: Country: E-mail: Telephone: Mobile phone: Your party: (include all other members of your party) (include address if different from party leader and age if less than 18) Name: Address: Postcode: Age: 1: 2: 3: 4: 5: 6: 7: 8: Additional items: (please indicate if required) Pool heating (at price advised)Child's bed (no charge)Cot (travel cot - bring your own linen)(no charge)High chair (no charge) Payment method: (please indicate how you would like to pay) (we will send details on how to pay using your preferred method) ChequeBank transferCredit card / Paypal Confirmations: (please indicate your agreement to all of the following) I am over 18 years of age I am authorised to represent all members of my party I have read and accept the terms and conditions Contact us: e-mail DJ & TL Wade 1 The Mallards Havant Hants PO9 1SS www.casasonhos.com