M C Villa Booking Form
Please print
this form, and post the completed form with a cheque made payable to Mr O. Urel
to
17 Southbourne Road, Lymington, Hampshire SO41 9JB
| Name: | |
| Address Line 1: | |
| Address Line 2: | |
| Town/City: | |
| County/State: | |
| Postcode/Zipcode: | |
| Country: | |
| Telephone: | |
| Mobile: | |
| Fax: | |
| E-mail Address: | |
| Desired Dates: | |
| Total Cost of Holiday: | |
| Deposit Amt Enclosed: | |
| How Many in Your Party: | |
| How you heard about us: | |
Signed (I hereby agree to the booking conditions): Dated: |
|