Mr/Mrs

Surname

Address

Age

Telephone No.

Post Code

 Please reserve me a  

bedroom flat for

weeks

from Saturday

to Saturday

at a cost of £

I require cancellation insurance (delete if not required)

Car Registration No.

Approx. arrival time

I enclose a cheque for £

made payable to Devoncourt              

or I wish to pay by Credit or Debit Card - the sum of £    

and I authorise You to take the balance due 40 days before my arrival.

Card No.

Expiry Date

Signature Strip No*

 Issue No.

Signed

I have read and understand the booking Terms and Conditions

I also require (insert number in the box)

Sheets and pillow cases @ £15 p bed

Duvet and sheets @ £20 per bed

Bath and tea towels @ £5 per set

Duvet only @ £10 per duvet

Dog @ £20 each per week each

High chair free

Cot - Highchair £5 per week

I have been to Devoncourt before 

I have NOT been to Devoncourt

I saw your advertisement in

I was recommended by