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Holiday
Details:
| Arrival Date (in
Florida): |
Departure Date (from
Florida): |
| Inbound
Flight No: |
Outbound
Flight No: |
| No' of Nights: |
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Your
Details:
| Title: |
First Name:
Last Name: |
| Address Line 1: |
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| Address Line 2: |
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| City: |
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| County / State: |
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| Post / Zip Code: |
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| Country: |
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| Home Tel. No: |
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| Fax Tel. No: |
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| Mobile Tel. No: |
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| E-mail: |
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Details Of Your Travel Party: (The 3 bed home Townhouse is equipped to accommodate 8 persons but
small
children can be catered for with extra sleeping arrangements
if necessary)
| Title: |
First Name: |
Last Name: |
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DECLARATION: I accept for myself and on behalf of the other members of my party,
the terms
and conditions of booking. I am over 18 years of age. I enclose a
payment of
£100 (or $150) p/w as a non-refundable booking deposit.
I understand that
the full rental balance of £/$ _______________ is payable
on or before ______________________ this date.
Signed: _____________________________ Date:
____________________________
Please fill in the full rental amount less the deposit and the date
12 weeks prior to arrival
in Florida. Please make cheques payable to:
Michelle Partington
Copyright © 2004
MidasHomeOrlando.com. All rights reserved.
94 Park
Avenue, Fazakerley, Liverpool, L9 9DQ, Merseyside, England

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