SECTION A: Details of Renter
First Name:
Surname:
 
Address:
Postcode
 
Tel 1:
Tel 2:
Fax:
Email:
SECTION B: Dates required
Arrival: 
Departure: 
 
SECTION C: Names of Guests
1:    2:   
3:    4:   
5:    6:   
7:    8:   
9:    10: 
11:  12: 
13:  14: 
15:  16: 
SECTION D: Special Requirements
We require Jacuzzi Spa and Pool heating during our stay
@ £85 per week
Yes No
SECTION E: Signature
Agreed Rental 
Pool & Jacuzzi
Heating
(£85 x weeks)
Total Rental:   
10% Deposit cheque enclosed

Please make your cheque payable to:

Caroline Crosby or Louise McGuire

Caroline Crosby
Balderstone Bank
The Hurst
Kingsley
Cheshire
England
WA6 8BD
Louise McGuire
5 Upton Avenue
Heaton Mersey Stockport
Manchester
England
SK4 3PL.

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