BOOKING FORM - ST MARGARET'S PARK HOLIDAY BUNGALOWS
Polgooth, St Austell, Cornwall PL26 7AX. 01726 74283

Mr/Mrs/Miss/Ms......................................................

Address.............................................................

.............................................Post Code..............

Telephone:.................... Car Reg No(s):..........................

HOLIDAY BUNGALOW TYPE:
A[_]  B[_]  C[_]  D[_]  E[_]  F[_] (Please tick as appropriate)

Arrival Date ................Depart Date ...............

Dog Yes/No (Max 1 in some bungalows only) 

DETAILS OF PARTY:    Total no. of people ....... 

Mr/Mrs	Name                              Age bracket (0-2, 2-12, 
Miss/Ms	                                       12-18, 18-60, 60+ 
                                           
(Self).............................................................
2
...................................................................
3
...................................................................
4
...................................................................
5
...................................................................
6
...................................................................
7
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Cot req: Yes/No (linen not provided)  Highchair req: Yes/No 

I have read the conditions of reservation and enclose a deposit of 
            (being £30 per week excl Holiday Cancellation Plan or        
£ ......... £40 per week incl. Cancellation Plan - Deposit is Non 
Refundable unless covered by the Holiday Cancellation Plan)

Date .............. Signature .....................................
Please make cheques payable to St. Margaret's Park 
or use Credit/Debit Card: Cardholders Name ........................

Card Number:[_|_|_|_]  [_|_|_|_]  [_|_|_|_]  [_|_|_|_]  [_|_|_|_]

Expiry Date:[_|_]/[_|_]	Valid from:[_|_]/[_|_](if applicable)
Please tick card type:
[_]Visa  [_]Mastercard  [_]Delta  [_]Solo  [_]Switch ([_]Switch issue no.)

Please indicate if you wish us to automatically debit your card with the 
balance on the due date YES/NO
Have you visited St. Margaret's before? YES/NO 
Have you reserved this booking by telephone? YES/NO