Booking Form
Please complete the form below, print and forward the signed copy with your deposit to the following address. Mr & Mrs K Stevens, Wayback, 26A The Street, Rustington, West Sussex, BN16 3NX
Your Stay
Arrival Date Weekly Rental
Arrival Airport Total Rental (A)
Flight Arrival Time Deposit 20% (B)
Flight Number Breakage Bond (C)
Date & Time of Departure * Remainder (A + C - B)
Please note that the non refundable deposit is required to secure the booking. The breakage bond will be returned after your stay less any repair or replacement costs. Please send payment by cheque, made payable to Mr & Mrs K Stevens, to the above address. The remainder is due 8 weeks prior to your arrival at the villa. * At the end of your stay the villa must be vacated by 11am, unless agreed otherwise.
Party Details
Number of Adults Number of Children
If you would like assistance with the following please indicate:
Car Hire Airport Transfers
Message / Special Requirements
Your Details
Full Name
Postcode Telephone Number

I agree to be held responsible for the full payment due for rental of the property. I agree to leave the property in the condition in which it was found and to be held responsible for the full cost of any damage, breakages or consequential loss as a result of my stay. I have read and understand the booking conditions and agree to be bound by them.



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