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Five Gables Cottage Binchester
Title:...........First name: ........................... Last Name:................................................
Address:................................................................................................................................
....................................................................................... Post Code: .................................
Telephone No.: ............................................. Fax No.: .........................................................
E-mail: ................................................................................................................................
Dates accommodation required:
SATURDAY ___________________
to
SATURDAY ___________________
NOTE: All hirings start at 4pm on Saturdays and end at 10am on Saturdays.
Names of others in party:
2. Name................................................. 4. Name: ..............................................
3. Name................................................. 5. Name: ..............................................
Hire Charges (See separate Tariff of Charges & Seasons)
No. of Weeks___________ @ £______ per week = £__________
Charges for Pets @ £10 per dog per week = £_______
TOTAL COST £_____________
Non-refundable 10% Deposit* [normally already paid by credit/debit card] £___________
BALANCE PAYABLE 14 days before start of hiring £______________
Signed.................................................... (Hirer) Date .......................................
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© 2006 Five Gables Cottage - Binchester, Bishop Auckland, Co. Durham