The Lantern House - Booking Form

Before completing and printing the form please check availability,then phone or email to confirm dates required and send enclosed cheque with completed form. Alternatively you may wish to pay online bank transfer in which case contact us for details.
Title:
First Name:
Last Name :
Address:
Postcode:
Tel no.	E-mail	Mobile
Date's required (dd/mm/yyyy) :	From / /	To / /
Number in Party (max 6) :	Adults	Children

Names of ALL persons using the property :
Title	First Name	Last Name	Age (if under 16)
1
2
3
4
5
6

Mattress, cot and high chair £20 per week combined price (please check box if required)
I enclose a deposit of £	(25% of total holiday cost, non-refundable) OR	I am using online bank transfer for payment
and I have read and agree to abide by the Terms & Conditions

Signed :-....................................................................................................		Date :- / /
Name in block capitals :-...........................................................................

Please makes cheques payable to G.M.Gill (or contact us if paying via online bank transfer) and send completed booking form to : Tower Croft, 19 Richmond Drive, Mapperley Park, Nottingham, NG3 5EL.
Written confirmation of your booking will be sent on receipt of the booking form and deposit. Details of key collection will be sent on the receipt of the final balance (i.e 8 weeks prior to arrival)
How did you hear about The Lantern House? (if the internet, which website?)

	To PRINT the completed form click button.