Booking/Reservation Form Please print and complete this form and mail together with your 20% deposit to:- Mrs Janet Evans, Cwrt Mawr, Llangeitho, Tregaron, Ceredigon, UK. SY25 6QJ

Details Of Party Leader First Name(s): ___________________________________________ Surname:: ___________________________________________ Address Line 1: ___________________________________________ Address Line 2: ___________________________________________ Address Line 3: ___________________________________________ Address Line 4: ___________________________________________ Post / Zip Code: _________________ Home Phone No.: _________________________________ Work Phone No.: _________________________________ Fax Number: _________________________________ E-Mail Address: _________________________________

Booking Dates Date Of Arrival: _ _ / _ _ / _ _ _ _ (MM/DD/YYYY) Date Of Departure: _ _ / _ _ / _ _ _ _ (MM/DD/YYYY)

Additional Requests (Please Circle) Pool Heat

You should include your 20% booking/reservation deposit with this form. Please note that normal check in is at 4:00pm and check out is at 10:00am. I agree to accept the terms and conditions as stated on www.FloridaVillasInOrlando.com on behalf of all party members. Signed _________________________             Date: _ _ / _ _ / _ _ _ _       (MM/DD/YYYY) Print Name: _______________________________________________________________

Names of ALL party members (Ages If Under 18 yrs) 1. _____________________________________________ 2. _____________________________________________ 3. _____________________________________________ 4. _____________________________________________ 5. _____________________________________________ 6. _____________________________________________ 7. _____________________________________________ 8. _____________________________________________ 9. _____________________________________________ 10. _____________________________________________