Wimborne & Ferndown Lions Club

with over 44 years of Community Service

(Incorporating registered Charity Number 278860)

 

Holiday Home Booking Form

 

Please complete this Booking Form and send, together with your deposit, to: -

Lion Frank Fortey, 23 Egdon Drive, Merley, Wimborne, Dorset, BH21 1TY

 

Tel: 01202-886022 Email: lionfrankfortey@gmail.com

 

1.             Holiday Makers Name:     ___________________________________________                                         

 

Address:                ___________________________________________

 

___________________________________________

 

___________________________________________

 

Tel. No:              ___________________________________________

 

2.             Holiday Dates Required

 

From:

____/____________/______

To:

____/________________/______

No of Nights:

_____

 

 

3.             Please give details of each member of your party, starting with your name first.

 

Mr / Mrs / Miss

Initials

Surname

Date of Birth:

 if under 18

 

4.             Holiday Payment

 

 

Total Holiday Cost

£________________

I have enclosed the Deposit, made Payable to the

WIMBORNE & FERNDOWN LIONS CLUB, and

 

Deposit Due

£                    60.00

agree to pay the balance due one month before the holiday date.

 

Balance to Pay

£________________

Signature ________________________

 

Balance to be paid by:

_______________

Date         ________________________

Please note that there is a Colour TV in the holiday home and you are covered by your own home Colour TV licence provided your home

TV is not being used simultaneously. The viewing Authorities may visit the site and require evidence of a Colour TV licence.