Larwoods Villa Booking Form

Property details: Oneida Loop, Indian Creek, and Kissimmee, Florida

Renter’s Contact Details:
Name:
Address:


Zip / Post Code:
Home Telephone:	Cell / Mobile Telephone:

Occupants (Florida State law requires all names; Villa licensed for 10 guests - NO more than 10 will be allowed to stay) please indicate ages of those occupants that are under 21. You MUST provide names of all of those staying in my villa. This is for your own safety as well as law under Florida Fire Regulations.

1. Main Contact as above	6.
2.	7.
3.	8.
4.	9.
5.	10.

Booking Details:
Arrival date:	Departure date:

			*Cost*
Rental rate
Pool/Spa heat required	Yes /No
Total
Refundable Security Deposit		£150 / $250
Total
Deposit	If more than 10 weeks before arrival
Final Balance Due on or before (10 weeks prior to arrival)		Date:

Special requests: cots, high chair etc

I have read the terms and conditions, through section 1 to 39, of the rental agreement and I confirm that my signature on this booking form constitutes acceptance of these terms and conditions by me and all the members of my party. I am over 21 years of age.

I enclose a *cheque / Direct Bank Deposit for $/£______ as a deposit/full payment* for the rental period. Please make cheque payable to: - S. Larwood

Name ___________________ Signature _____________________ Date _____________

(*delete as applicable)