Wimborne & Ferndown Lions Club

A Registered Charity with over 38 years of Community Service

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 / Fax 01202-886022

 

 

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

Age 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

£_________50.00___

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.