Todays
Date:
.
Detail
of Stay:
Please
Select:
Arrival
Date:
January
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31
2003
2004
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Departure
Date:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
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4
5
6
7
8
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19
20
21
22
23
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25
26
27
28
29
30
31
2003
2004
2005
Number
of Nights:
.
Rental
Rate:
.
Day/Week
(£)
Day/Week
($)
Calculate
Rate:
£120/£840
$220/$1540
.
Booking
more than 8 weeks before Arrival
Date:
Amount
(£)
Amount
($)
Rental
Rate
Long
Stay Discount
Deposit
due within 7 days (20%)
Balance
Refundable
Security Deposit
Remainder
due 8 weeks before
arrival
.
Booking
less than 8 weeks before Arrival
Date:
Amount
(£)
Amount
($)
Rental
Rate
Long
Stay Discount
Refundable
Security Deposit
Amount
due within 7 days (full
amount)
Rates
quoted are in GB Pounds(£) &
US Dollars($)
Currency
Converter
.
Customer
Information:
Please
Enter:
Your
Name (Party Leader):
Address:
Town
/ City:
County
/ State:
Post
/ Zip Code:
Country:
Telephone
Number:
Facsimile
Number:
Email
Address:
.
Party
Details:
.
.
.
Number
of Guests:
Please Select:
1
2
3
4
5
6
7
8
9
10
11
.
Name:
Forename:
Surname:
Age:
Guest
1 1:
Guest
1 2:
Guest
1 3:
Guest
1 4:
Guest
1 5:
Guest
1 6:
Guest
1 7:
Guest
1 8:
Guest
1 9:
Guest
10:
Guest
11:
.
Select
Payment Method:
.
Send
a Cheque/Draft to our home
address in UK Pounds
(£)
Made
Payable to Lauren
Gilbert.
Send
a Cheque/Draft to our bank in
the USA in US Dollars
($)
Made
Payable to Lauren
Gilbert.
Bank
Transfer (wire) the funds to
our bank in the UK in UK
Pounds (£)
Account
details will be forwarded via
email.
Bank
Transfer (wire) the funds to
our bank in the USA in US
Dollars ($)
Account
details will be forwarded via
email.
Credit
Card
Complete
the following Credit Card
Payment Details.
.
Payment
Details:
Please
Enter:
Name
on Card:
Card
Number:
Card
CV2 Number:
(on
reverse of card, if
available)
Card
Type:
Please Select:
Visa
MasterCard
Amex
Eurocard
JCB
Switch
Start
Month:
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11
12
Expiry
Month:
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04
05
06
07
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09
10
11
12
Start
Year:
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95
96
97
98
99
00
01
02
03
04
05
06
Expiry
Year:
Please Select:
00
01
02
03
04
05
06
Switch
Card Issue No:
(UK
only)
.
.
Please
enter any other requirement or
information: