Middleton Lodge  Holiday Apartments                                                                                                                    

BOOKING FORM
MIDDLETON LODGE APARTMENTS - WEST CLIFF BOURNEMOUTH
Please print and complete.

Name.     ........................................................................................................................................................
Address   .....................................................................................................................................................................................................................
               .................................................................................................................................Postcode .....................................
Tel. Day. ....................................  Tel. Evening.  .....................................  Mobile......................................
E- Mail address ..........................................................................

Your 1st choice of Apartment No.  ......                 Your 2nd choice of Apartment No.    ......                
at 3 Portarlington Road, West Cliff Bournemouth.

Holiday dates                            (1st Choice) W/Comm.   ............................................
                                                                  (2nd.Choice) W/Comm.  ............................................
Number of weeks required    .........

My party will consist of    ........    Adults    ........   Children      Ages:-  .....................................................
Please note family parties, or couples over the age of 25, are only permitted.

Total rental for 1st. Week   .............
Total rental for 2nd Week   .............

Total rental of apartment     .............

Deposit enclosed (1/3 of total rental or full amount if within 6 weeks of  arrival)     ................. 
Balance payable 6 weeks prior to holiday
Cheques to be made payable to N.R & V.A. Willis.  A confirmation booking will be forwarded by return.

Optional Extras
Linen Hire          £15.00 Double Set      No of sets required   .....................
                         £13.00 Single Set       No of sets required   .....................

Dog                    £30.00 per week       No of dogs               .....................         Breeds  ............................
Note: only certain small breeds are accepted, please phone if you need to discuss.
High Chair          £5.00 per week         ...............

Final Cleaning     £25.00                      ...............   For those who prefer to save time and have the service provided upon vacating.

Declaration:  I am over 25 years old and accept the booking and will leave the apartment in the condition found upon entering.

                                                                            Signature                 .......................................       

                                                                             Dated                     ...........................

How did you hear of Middleton Lodge?  ...................................................

Please post to:             Mr and Mrs N.R. Willis - 6, Kimberley Road, Lower Parkstone, Poole, Dorset  BH14 8SQ
                                     Tel. 01202 747934 or Mobile 07970 347580

Disclaimer
Middleton Lodge is used by guests at their own risk. N.R. and V.A.Willis can not accept liability for any accident, damage, loss, injury,
expense or inconvenience to any person or their property.
We reserve the right to provide alternative accommodation or cancel the booking owing to unforeseen circumstances and any payments
made in advance will be refunded in full with no further claim against the owner.
Any complaint must be lodged within 24 hours of entering property.