If you have any trouble completing this form please ring us and we will fill it in for you and send it back to you for confirmation before processing! We are here to help you.
For the form to work all the items in red and marked with a * must be completed. The details of all guests are required.
www.Getaway-Villas.co.uk
Villa:

  Title* Full Name* (First Name, Initials, Surname) Age (if under 18)
Party Leader*  
Guest 2
Guest 3
Guest 4
Guest 5
Guest 6
Guest 7
Guest 8
Guest 9
Guest 10
Guest 11
Guest 12
Number of people:
Contact Details:
Address:* Tel/Fax/email  
Home Tel:*
email*
Work Tel.
Fax:
Mob. Tel:
Will you be taking your mob. with you?
Yes
Booking Details:      
Arrival Date:* (DD/MM/YY) Departure Date:*DD/MM/YY
Number of Nights:    

Approximate arrival time at the villa (if known): Please note that normally you will have access from 4 pm onwards

 

Arrival airport (if known):


Airport arrival time (if known)



       
Total Rental Cost .. As listed or quoted (does not include extras)
Deposit Amount (in GBP) (as agreed/advised): *
Deposit payment was/will be made on
DD/MM/YY
Payment Method*
By cheque payable to "Safe Ventures Ltd" and sent to 1 St Chads Drive,
Leeds LS6 3PZ, UK
By Bank Transfer to "Safe Ventures Ltd" (account details emailed on request)
By Credit Card following the links on the villa website.( 3% surcharge)
(click on the appropriate circle)
Extras: (we will send you a no-obligation quote if price of ticked item not already agreed. - some of these can be booked later by phone or email)
Cot (FREE) High chair (FREE) Car hire
          Please visit our "Car Hire" page for an instant (hard to beat) quote
           
other requirements/comments/clarification    
Declaration: (Please click the box to indicate your agreement)
*
 I certify that I am over 21 years of age and that I have the authority to represent all the persons named on the booking form .I confirm that I and my party have read, understood and accept the terms & conditions of the booking as published on the villa website. I confirm that adequate insurance cover for all relevant risks will be in place to cover all members of my party during our stay in the villa. I am responsible for any payments arising from this booking and my party's stay in the villa. I understand that only persons named on this form may occupy the villa, and any changes will be notified to Safe Ventures Ltd in good time.

 

Please enter your name/signature* Date of Submission DD/MM/YY

Before you press the "send" button below you may wish to check the form through (please make sure all the red fields marked with a * are completed - you may need to REDO the WHOLE form if you miss any out). A copy of what is transmitted will be shown to you when you press the "Send Form" button (and we will email you a copy).

Please click on the "Send Form" button for the form to be transmitted to us electronically.