Book Butlins Holidays - Butlins Booking Form. Booking form for Butlins Skegness.

Liesls Holidays at Butlins Skegness, Booking Form
Please contact me on 01283 735 001 for availability before completing this booking form
Reference Number:		I'll provide this when you phone me
Your information:
Your Name (Lead name):
Contact e-mail Address:				If no e-mail address write 'none'
Your Postal Address:
Your Post Code:
Preferred Tel. No.				Please state if day or evening number
Other Tel. No.				ie. mobile or works number
Your Holiday Requirements
How many people in your party ?	No. of Adults:
	No. of Children (age 2 - 16)
	No. of infants (under 2)
Names & ages of your party 1 to 10
1.		Age		Names of parties are needed for Butlins Pass form
2.		Age
3.		Age
4.		Age
5.		Age
6.		Age
7.		Age	(£20 extra - not Nordstar)
8.		Age
9.		Age	(£50 extra - Nordstar Only)
10.		Age	( Nordstar Only)

Start Date of Holiday:	Date Month Year
Duration of Holiday:

Cost of Holiday
Tariff (as Costs page):	£ (A)
Deposit (£50 per week):	(B)	To be received within 7 days of booking. Make cheques payable to 'Liesl Thorman'. Write reference number on rear of cheque. Payment can also be made by Internet Banking.
Use of lounge bed:	(C)	£20 for parties of 7 or 8 (Not Nordstar) £50 for parties of 9 or 10 (Nordstar Only)
Less any Discounts:	(D)	Discounts are given for Booking 2 consecutive weeks - please phone Liesl
Extra Passes	(E)	Price of caravan includes up to 4 passes. Extra passes charged at £20 per person for Peak Weeks & Adult Breaks, £15 off peak
£50 bond:	(F)	Bond refunded by post (less cost of any damage) once caravan checked for damage and cleanliness after your holiday
Balance due 8 weeks before holiday start date:	£ (= A-B+C-D+E+F)	If booking within 8 weeks of your holiday start date total balance is due now. Make cheques payable to 'Liesl Thorman'

Declaration
The lead booking name above signs on behalf of their party and accepts the terms & conditions of reservation:
Signature:
Please Check the Information you have entered before submitting electronically, or printing & posting

If posting send to: Liesl Thorman, 131, Welland Road, Hilton, Derbyshire, DE65 5NE.