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BOOKING FORM FOR HACIENDA RIQUELME 78.BB

Please fill in ALL the fields in the form!

Please book Hacienda Riquelme 78.BB for me on the specified dates as follows:

		Date of check in: 
  	       Date of check out: 

   for up to 4 people/2 bedrooms: 
	      Linen Requirements:   

                     No. of Pets: 
		    Holiday Cost: 
 2nd bedroom @ £20 if applicable: 
     Day Rate@ £15 if applicable: 
    Add pet tariff if applicable: 
3% credit card fee if applicable: 
                       SUB TOTAL: 
+ £100 refundable damage deposit: 
                           TOTAL: 

Euro65 is payable locally on arrival in addition to the above holiday cost.
We recommend you take out cancellation insurance to ensure a full refund in the
unfortunate event you have to cancel your holiday.
Please make cheques [sterling only drawn on a UK bank] payable to Coastal Valley 
Hideaways and mail to address below*. We can also accept bank to bank transfers.
Only 25% of subtotal is required on booking if made more than 6 weeks before 
arrival.
Full amount is due within 6 weeks of arrival. See terms and conditions.
For debit/credit card payments we use Paypal and will email you an invoice. You then input your card details using Paypal's secure system. You do not need to be a member of Paypal to pay by card.
3% fee applies.

     Payment by cheque in post :     Please mail to address shown below            
             Debit/Credit card :
    We will email an invoice to you via Paypal

                          E-mail:

                   Title e.g. Mr:

                      First Name:

                       Last Name:

                  Street Address:

                       Town/City:

                    County/State:

                   Zip/Post Code:

                       Telephone:

                          Mobile:

                  Confirm E-mail:

      How did you hear about us?:

I have read and agreed to Booking Conditions

After reserving Harbour Point by clicking the button above, please send your cheque to:
*Mr & Mrs Menday, Coastal Valley Hideaways,
Narracott Down, Honiton Road, South Molton, Devon EX36 4JA
Fax to: 01769 574662 -  For further information call 01769 574662
E-mail: booking@haciendagolf.co.uk