Broad Haven Holiday Park - Caravan Booking Form
 
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

What dates are you interested in?
    From:
    To:
    Year:

 


Continue Form
 


 

 

 

 

 

 

 

 
Your Holiday Expenditure
1st Week £
2nd Week £
EXTRA PERSON 1st Week £
2nd Week £

Dog £
Linen Hire £
Holiday Insurance £
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 £

Payment Method

If you wish pay your initial Payment by Visa, Mastercard, Switch, Delta. My Credit/Debit Card number is:
Issue No:

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:


Numbers in Group
   5 & Under:
   5-18:
   Adults:
   Dogs:

Extras Requested
Cot
Highchair
Fireguard

Quantites of Single Bed Linen
Quantites of Double Bed Linen

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: ________________ 
Print Form (Post Payment)