RESERVATION FORM
  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 :-
     NAME         Address ( if different to above )     Age
( Mr / Mrs / Miss)                                                                                                                     ( if under 21 )


.

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
            YES                NO
Please tick as required
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