Text Box: FLORIDA VILLA RENTAL BOOKING FORM 2008/9

SURNAME.   -  

 

FIRST NAME’S

TITLE

Mr /Mrs/Miss    .
Text Box: PASSPORT No……………………...Text Box: Issue Date Text Box: Expiry Date

Date of Birth

Party Leader

Number of Adults               (       )Names                          Age (      )

No of Children                      (     )

Name                             Age (     )

UK ADDRESS.-No 

STREET.

Town    

County  

POST CODE    

Text Box: Where Issued Text Box: PREVIOUS ADDRESS If Less Than 3 Years. Text Box: No of Weeks Rental ( ) x Cost per Week £ Xtra Days @ £50.00 per day ( ) x Extra Days £ Pool Heating £50 per week ( ) No of Weeks £ Text Box: Hernando County Florida Tourist Development Tax @ 3% = £3 per £100 = 3% Tax £ Text Box: = Weekly Total £ = Extra Days £ = x Weeks £ Text Box: Insurance Compulsory. Company Text Box: Ins Certificate No Text Box: Valid From To. Text Box: PAYMENT BY CHECK OR CASH ONLY:- Payable to :- G & A FRANCIS

Country of Residence
Text Box: ALL RENTAL FEES TO BE PAID IN FULL 8 WEEKS PRIOR TO BOOKING DATE Text Box: CANCELLATION IN WRITING :- UPTO 8 WEEKS BEFORE DEPARTURE DATE — LOSS OF DEPOSIT ONLY. CANCELLATION IN WRITING :- AFTER 8 WEEKS BEFORE DEPARTURE DATE —No REFUND Text Box: Telephone outside of UK :- 011 44 1255 851723. UK 01255 851723 . MOBILE 07855184730. EMAIL gpf.angloamerican@virgin.net / www.angloamericanservices.net Text Box: PLEASE FORWARD TO :- G & A FRANCIS. 174a ELM TREE AVENUE, WALTON ON NAZE, ESSEX, CO14 8TF, ENGLAND, UK. Text Box: Dates Required From :- To:-

Please Print Form  Complete / Sign then:-

Forward to us with the Deposit

Contact Telephone Number.

 Email 

Security Deposit  of   £100        = Deposit       £          

Atlas  Annual Multi Trip Insurance  

Only £100      Circle .Yes or  No                     £…………….

 

  £

Inclusive Total  £_________

Non UK Citizens Please Supply Photographs for all . persons .