PLEASE PRINT THIS FORM AND FILL WITH BLOCK LETTERS

ABERERCH SANDS HOLIDAY CENTRE LTD.

PWLLHELI, GWYNEDD, LL53 6PJ.
TEL: 01758 612327
FAX: 01758 701556

BOOKING FORM

PLEASE RESERVE ........... PITCHES FOR MY TOURER-TENT-M/VAN    (PLEASE DELETE)

FOR ..... NIGHTS FROM ............... 12:00A.M. TO ............... 12:00A.M.

MY PARTY WILL CONSIST OF ........ ADULTS .......... CHILDREN

AWNING @ 3.00 PER NIGHT            YES / NO (PLEASE DELETE)

ELECTRIC HOOK UP REQUIRED?          YES / NO (PLEASE DELETE)

NAME    (BLOCK LETTERS).....................................

ADDRESS ....................................................

        ....................................................

POST CODE ..............  TELEPHONE NUMBER .................

I ENCLOSE A CHEQUE FOR THE SUM OF .........................
E-MAILS WITH CREDIT CARD DETAILS ATTACHED WILL NOT BE ACCEPTED
PLEASE DEBIT MY: ACCESS/MASTER - VISA - SWITCH  (PLEASE CIRCLE)

CREDIT CARD No:  _ _ _ _   _ _ _ _   _ _ _ _   _ _ _ _
SECURITY CODE: _ _ _(enter last three digits on signature strip)

START DATE ____/____  EXPIRY DATE ____/____  ISSUE No. (SWITCH ONLY): _____

This being the deposit for the above mentioned period and I agree to the conditions.
I agree to pay the balance on arrival.


SIGNED ........................   DATED ....................

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