Please print and send to Mrs M.C.Smith, 32 Matthews Chase, Binfield, Bracknell, Berkshire, RG42 4UR
Please make cheque/draft payable to "M.C. Smith - business".

Title: Mr/Mrs/Miss/Ms/....…… Initials:____________ Surname:______________________________

Address:____________________________________________________________________________
___________________________________________________________________________________
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Postcode: ______________________
Country: _______________________

Telephone:_________________________________ Mobile:___________________________________

Email:_____________________________________

Number of adults? ____

Number of children? ____ Ages?___________

Please tick if you require the following: wifi___ ,travel cot ___ ,high chair___ ,baby bath ___

Where did you first hear about Manor View Apartment? ______________________________________

I enclose a cheque for £_________ as deposit/full payment (please delete as applicable). I will use this apartment for holiday purposes only and agree to occupy the apartment by myself or with members of my immediate family only. I agree that no tenancy will be created and I take this apartment by way of licence.

Signed ______________________________

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