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Heart of the Lakes

Holiday Booking Form by MAIL/FAX

Please fill in the details on this form then
MAIL/FAX it to:
Heart of the Lakes
Fisherbeck Mill, Old Lake Road, Ambleside
Cumbria, LA22 0DH

Fax: 015394 33251 Tel: 015394 32321 24hrs

Payment details:
Please make cheques payable to 'Heart of the Lakes' and drawn on a UK bank.
If paying by Credit Card please fill in your details at the bottom of this form. Thank You.
Your Details

Name_______________________________________________________
Address_____________________________________________________
____________________________________________________________
____________________________________________________________Postcode__________________
E-Mail Address_____________________________________
Telephone Number - Daytime______________________Evening________________________
Your Occupation________________________________
Your Holiday Details
Booking Reference No._____________ (If known)
Holiday Dates required - From___________________________ to ____________________________
Property Name______________________________________ Ref.No._______________
Number in your party - Adults_____________ Children_____________

Names of remainder in your party
(please state any child's age)____________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

If you have stayed with us before which properties have you stayed in?___________________________

_____________________________________________________________________________________

If not, where did you first hear of us?___________________________
Linen required: Please refer to property description and indicate which beds you intend to use:
Single beds________ Double beds________King/Queen beds________

Please tick here if you DO NOT wish £2.00 to go to 'Our Man at the Top'.

Please TICK the following:

We have read the property description

We undertake to leave the property in a clean and tidy condition
We have read and agree to the Booking Conditions
I am over 18 years old
Deposit (1/3 of the rental) or total if within 6 weeks £__________
Admin. Fee (at £18 per week or part-week) £__________
Fuel money where charged as a fixed extra £__________
Pet (at £12 per week) £__________
Cot (at £12 per week) must be ordered (Note: no cot linen supplied) £__________
High Chair (at £10 per week) £__________
Towels (where required extra £5 per person) £__________
TOTAL AMOUNT £__________
N.B. Payment: We would prefer if possible to receive your payment by cheque, Switch/Maestro or other debit card. We can accept Visa, Mastercard and Eurocard but if you opt to make payment by credit card a 2½% surcharge will be levied. (Please see Bookings page for further details.)
Your Signature

Signed_______________________________ Date__________________________

Credit/Debit Card Details
Type of Card_______________________
Card number_______________________
Security number_______________________
Valid From Date - Month__________ Year___________
Expiry Date - Month__________ Year___________
Issue no. (Switch only)_________
Name on the card____________________________

Address of card holder (If different from above.)

___________________________________________

___________________________________________

___________________________________________ Postcode_______________

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