Please print off a copy of this form and complete in BLOCK CAPITALS. Return the completed form to
BROADSHADE, 9 ST ANDREWS ROAD, ROUNDHAM, PAIGNTON, DEVON, TQ4 6HA
NAME ( Mr / Mrs / Miss )________________________________________________________________________
ADDRESS ____________________________________________________________________________________
______________________________________________________________________________________________
TELEPHONE NUMBERS Home_____________________________Mobile________________________________
DATES REQUIRED: From SATURDAY________________________to SATURDAY_________________________
FLAT NUMBER REQUIRED: Preferences 1st_____________ 2nd _______________ 3rd _________________
My Party will consist of the following :-
We will also require the following :-
Bed Linen at £4.00 per bed per week
Cot and Mattress ( No bedding ) at £4.00 per week
Each Pet at £15.00 per week
Approximate time of arrival ________________ by Car / Train / Coach ( please delete 2 options )
I have read and accept your Terms and Booking Condition for myself and my Party.
I enclose a Cheque / Postal Orders for £ ______________________ as a deposit.
( please make payable to BROADSHADE ) The required deposit is 25% of the total rental cost