Dakota Point Villa Booking Form

Please fill in the following form, print it out then press submit at the bottom of the page.

Name	No. & Street
Town	Town 2
County / State	Post Code / Zip Code
Telephone	Fax

E-Mail

Arrival Date	Departure Date
No. of Days	Number in Party
Rental Rate	Pool Heating Required?
Pool Heating	Total Amount Due

DEPOSIT £100 / US$200 PER WEEK - NON REFUNDABLE

SECURITYDEPOSIT £150 / US$ 300 per booking REFUNDABLE

Please make cheque's / checks Payable to J S & TJ DALEY
Receipt of Balance Payment is due 8 weeks before arrival
I / We accept the booking terms and conditions on behalf of our party

Signed

Dated

Enter the code shown in the image:

Tina & John Daley
25 Charlton Avenue,
Filton, Bristol
BS34 7QX

Telephone from UK : 0117 9799050
Telephone from US : 011- 44-117 9799050
E-Mail tina@dakotapointvilla.co.uk