SEAFRONT CHALET

West Bay, Bridport, Dorset

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BOOKING FORM

(Please write clearly)

NAME ......................................................................................................................................

ADDRESS ......................................................................................................................................

......................................................................................................................................

......................................................................................................................................

TELEPHONE ...........................................

DATES OF WEEK(S) REQUIRED .....................................................................

(commencing Saturday)

.....................................................................

Number of persons in party ..............

Number of sets of linen required: Single .................. Double ....................

I have read and accept the booking conditions and enclose a deposit of £................. * (being £30 per week)

to book the chalet for .......... week(s). I will pay the balance at least 28 days before the holiday is due to begin.

Date .............................. Signature ...........................................................

Cheques should be made payable to "T. Visram".

Send Form & Payment to Mrs T. Visram, 224 Perth Road, ILFORD, Essex. IG2 6DZ

How did you first hear of our chalet? ..........................................................................