Please print out this page, (click here to download in pdf format) fill it in and send it to:

Judy Rapoport, 8 Silverdale Close, Brockham, Betchworth Surrey RH3 7LN U.K.


Name of Tenant .................................................................................................
Address ................................................................................................. .................................................................................................
Post Code ..............................................  
Telephone (Day)...................................... (Evenings)...................................
  (Mobile)..................................  
Fax .............................................. E-mail ..............................................

Booking dates: From (date)................................... To (date)...................................
(Bookings are Saturday to Saturday)    
Property rental ................................... Deposit 25%:...................................
I enclose cheque/PO value £..............................payable to Patricia C. Barron

Please list below details of all the members of your party. (The maximum number of 6 + toddler must not be exceeded.)
Title Forename Surname Under 5 5 - 15 16 - 25 26 - 40 40+
               
               
               
               
               
               
     

METHOD OF TRAVEL:   FERRY from Eriskay/ FERRY from Oban/ AIRPLANE
I agree to care for the property during my stay and leave it clean and tidy. I agree to abide with the Conditions of let.
 
Signature............................................................................. Date.............................................
Conditions of Let