Booking Form-Eagle Pointe Villa Kissimmee

Booking Form
Please fill in the following form, print it out then press submit at the bottom of the page.
Name	No. & Street
Town	Town 2
County/State
Post / Zip Code	Country
Telephone	Fax Number
E-Mail

Arrival Date	Departure Date
No. of Weeks / Days	No. of Persons in Party
Rate Per Week / Day	Pool Heating
Total Amount Due

£100 / US$200 Per week DEPOSIT NON REFUNDABLE

Cheque / Check to be made Payable to Mr Stephen Murphy
Estimated arrival time to collect keys
Receipt of Balance Payment Due 6 Weeks before arrival
I / We accept the booking terms and conditions on behalf of our party.
Signed	Dated
Stephen and Denise Murphy, 44, Perryfields, Burgess Hill, West Sussex, RH15 8TU United Kingdom Telephone from UK : 01444-247693 Fax : 01444-230437 Telephone from US : 011- 44-1444-247693 Fax : 011- 44-1444-230437 E-Mail DensMurphs@aol.com Mailing details will appear after pressing the submit button