Rolleshayes Farmhouse  Booking Form
Please phone/email to check availability and provisionally book your holiday.
Tel.01481 237546
Print this form and send it with your deposit to:- Jenny Hayes, Les Chalumeaux, Val Au Bourg, St Martin, Guernsey, GY4 6EP

Name of Hirer........................................................................................................
Address.................................................................................................................
..............................................................................................................................
Post Code..........................Tel. No (daytime).........................................................
Tel. No (evening)...............................................Mobile .........................................
email......................................................................................................................

Names of the people in your party (include age if under 25)

Names of Party Age Names of Party Age
       
       
       
    **  
    **  
The party must include the signatory to this form. ** These boxes are only for children sharing family room. Cot also available..

Arrival Date - After 3.00pm .......................................
Departure Date - By 10.00am ...................................
Number of nights.................
Saturday change over except on short breaks

Calculation of Payment
 
Deposit
Balance
Total

If booking more than 56 days in advance send only the Rental Deposit A at this stage: if not send the Total Rental plus Security Deposit.
Linen (except cots) towels, electricity, solid fuel and oil are included

Week 1/part
£........
£........
£........
Week 2/part
£........
£........
£........
Week 3/part
£........
£........
£........
Subtotal
£........
£........
£........
Security Deposit
N/A
£100
£100
Total
A £........
£........
B£........


Cheques made payable to J Hayes
Well behaved dogs are welcome by arrangement
Special Requests.........................................................................................
...................................................................................................................
...................................................................................................................

Declaration - I confirm that I am over 18 years old and accept the Rollshayes Farmhouse conditions of booking on behalf of all the above named party. I enclosed a cheque for £............ being the rental deposit A * / Total Rental plus security Deposit B*. I also agree to be responsible for any further amount due under the terms of the booking conditions.

Signature..................................................................Date...........................
* Delete as appropriate

 


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