BOOKING FORM FOR HACIENDA RIQUELME 84.1A

Please fill in ALL the fields in the form!

Please book Hacienda Riquelme 84.1A for me on the specified dates as follows:

		 Date of check in:
     		Date of check out:

   for up to 4 people/2 bedrooms:  Add £20 per week for second bedroomSecond bedroom not required

	      Linen Requirements: Choose linen requirements hereMake up one superking onlyMake up one superking and one singleMake up one superking and two singlesMake up two superkingsMake up two singles in same bedroomMake up two singles in separate bedroomsMake up three singlesMake up four singles  

                     No. of Pets:  We will not be bringing any pets with usOne pet for one week @ £20Two pets for one week @ £40

		    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 Hacienda Riquelme 84.1A by clicking the button above, please send your cheque to:
*Mr & Mrs R Jackson
Weavers Cottage, Long Drove, East Grimstead, Wilts SP5 3RZ
Fax to: xxxxx -  For further information call 07866 607191
E-mail: terrijacko@hotmail.com