Florida Hills UK Booking Form

Name

No. & Street

Town / City

County	Post Code
Daytime Phone	Evening Phone
E-Mail

Arrival Date	Departure Date

Number of Nights	Arrival Airport if Known
Is This your First visit to Florida?

Please List ALL persons Occupying the Villa

Full Name and Age if under 21	Age on Arrival	Full Name and Age if under 21	Age on Arrival

Do you require the Baby Cot? If Yes which room would you like it in ?

Do you require the use of the High Chair?

Wheel Chair Hire?

Are you celebrating anything special whist staying in our home?
eg. Birthday, Wedding Anniversary. If so please give details

Rental Rate

Amount Enclosed

Please indicate your preferred method of payment: Cheque or Bank Transfer

Please check with the passport office and the US Embassy for Passport and Visa regulations to America.

BY SIGNING THIS FORM YOU AGREE THAT YOU HAVE:-
READ, UNDERSTOOD AND AGREE TO ALL THE TERMS AND CONDITIONS RELATING TO THIS BOOKING AND CONFIRM THAT YOU ARE AUTHORISED BY ALL PERSONS LISTED TO MAKE THIS BOOKING ON THEIR BEHALF. THAT YOU ARE OVER 21 YEARS OF AGE AND AGREE TO PAY THE BALANCE 2 MONTHS PRIOR TO DEPARTURE.

It is recommended that all party members obtain travel & medical insurance.

Signed Dated

Please complete and print this page first, then press SUBMIT to send the form directly to us, once received we will hold your dates for 7 days pending receipt of the signed form and deposit.

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THEN