Indian Point US Dollar Booking Form


		Luxury Orlando Villa for Rent at Indian Point, Kissimmee, Orlando.

US Dollar Booking Form

Name

No. & Street

Town / City

State	Zip Code
Daytime Phone	Evening Phone
E-Mail

Arrival Date	Departure Date

Number of Nights	Method of Arrival

Wheel Chair Hire?

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 Crib? If Yes which room would you like it in ?
Do you require the use of the High Chair
Rental Rate	Amount Enclosed

Please make your check payable to A & M Hill and send By AIRMAIL to
A & M Hill, 64 Morecambe Ave, Scunthorpe, North Lincs, DN16 3JG, United Kingdom

I HAVE READ, UNDERSTOOD AND AGREE TO THE TERMS AND CONDITIONS RELATING TO THEIS BOOKING AND CONFIRM THAT I AM AUTHORISED BY ALL PERSONS LISTED TO MAKE THIS BOOKING ON THEIR BEHALF. I AM 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 insurance.

Signed Dated

Please print this page first, then press SUBMIT which sends the form directly to us. Once received we will hold your dates for 14 days pending receipt of the signed form and deposit.
Submit Booking Form