Please fill out the form below, print out and mail
with payment to: Driftwood, 5 Thurlestone Gardens, Dartmouth, Devon TQ6 9HG
U.K .
Name:
Arrival Date:
Telephone Home:
Departure Date:
Telephone Work:
Cost of Weekly rental:
Telephone Mobile:
Number of Weeks:
Address:
Total Cost of Rent:
Deposit:
£200
Total:
E-mail address:
Names and Addresses of all persons in party
Name:
Address:
Name:
Address:
Name:
Address:
Name:
Address:
Please make cheques payable to:
Dart Leisure.
I declare I am over 18 years of age
and agree to be held responsible for balance of the retal due
for the property in accordance of the conditions of hire, which
I read and accepted.
