Declaration: On behalf
of the persons included on this form, I am authorised to make this booking
and agree with the terms and conditions. I understand that only persons named
on this form may occupy the accommodation unless previously agreed in writing.
Please submit this form to us by clicking on Submit Button below.
Please make your
deposit cheque payable to P N Purkis
and pay into our account, or execute a credit transfer to our bank, details
of which will be sent to you on receipt of this booking form (normally within
Confirmation of your booking
will be sent by email when we receive your deposit payment in our account.
You must fill in
the fields marked with a *