Print and post to:
Broad Haven Holiday Park, Broad Haven, Haverfordwest,
Pembrokeshire, SA62 3JD.
Fields marked with ** are required.
Title:
Name:
**
Surname:
Address1:
**
Address2:
Town:
County:
Post Code:
**
Telephone:
Email:
How did you hear about us?
Special Requests:
Names of the people in your party:
1.
2.
3.
4.
5.
6.
7.
8.
9.
First visit to the park?
Caravan Type
From:
To:
Year:
Numbers in Group
5 & Under:
5-18:
Adults:
Dogs:
Extras Requested
Cot:
Highchair:
Fireguard:
Quantites of Single Bed Linen:
Quantites of Double Bed Linen:
Payment Method If you wish pay your initial Payment by Visa, Mastercard, Switch, Delta.
My Credit/Debit Card number is:
Security No.
(last 3 numbers on signature strip)
Issue No:
(Not applicable to all cards, leave blank if not stated on card)
I authorise Broad Haven Holiday Park to charge my account with the
Initial Payment of:
for my holiday,
and the balance of:
28 days prior to arrival.
Cardholders Signature:
Cardholder's Name:
Start date:
Expiry date:
Cardholder's address if different from above:
1st Week £:
2nd Week £:
EXTRA PERSON 1st Week £:
2nd Week £:
Dog £:
Linen Hire
Sub Total £:
Less Special Offer £:
Total £:
Deposit - not less than 1/4 of total price or full amount if holiday is less than 4 weeks away £:
Balance due 28 days prior to arrival £:
If this confirms a telephone
reservation please tick here.
Declaration (Please remember to sign before posting) I declare hat I am over 18 years of age and agree that this booking is made in accordance with the terms of the brouchure and Tarrif.
I agree to be held responsible for the balance due and payment in accordance with the terms of the brochure and Tarrif.
Signature of Client: _____________________
Date: _____________________
(Post Payment)
Print and post to:
Broad Haven Holiday Park, Broad Haven, Haverfordwest,
Pembrokeshire, SA62 3JD.
