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

Liesls Holidays at Butlins Skegness, Booking Form
Please contact me on 0772 224 0568 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 - 14)
	No. of infants (under 2)
Names & date of birth of your party 1 to 8
1.		Date of Birth	Date Month Year	Names of parties are needed for Butlins Pass form
2.		Date of Birth	Date Month Year
3.		Date of Birth	Date Month Year
4.		Date of Birth	Date Month Year
5.		Date of Birth	Date Month Year
6.		Date of Birth	Date Month Year
7.		Date of Birth	Date Month Year (£20 extra)
8.		Date of Birth	Date Month Year

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

Cost of Holiday
Tariff (as Costs page):	£ (A)
Deposit (£50 per week, or £100 for Adult Weekends):	(B)	To be received within 7 days of booking. Make cheques payable to 'Miss L. Kinsella'. 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
Extra Passes	(D)	Price of caravan includes up to 4 passes. Extra passes charged at £25.00 per person for Peak Weeks,£20.00 off peak and £20 for Adult Weekends
£50 bond or £100 for Adult Weekends:	(E)	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)	If booking within 8 weeks of your holiday start date total balance is due now. Make cheques payable to 'Miss L. Kinsella'

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: Lorraine Kinsella, 143, Main Road, Watnall, Nottingham, NG16 1HF