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Simply Florida Booking Form

Please complete all the appropriate fields in the booking form below and click on the "Submit Booking Form" button at the bottom of this page.  This will e-mail the booking form direct to us for our records.  A copy of your input will appear as a web page on your pc.  This will confirm that we have received the booking form.  

Arrive:

Depart:

First Name: Surname:
Address:
Address:
Address: Zip Code:  
Tel No. (Day): (Evening):
E-mail:
Names (and age - if under 21) of other persons who will be occupying the villa:

Name

Age

Name

Age

 
   
Rental costs - Please select currency: 
Agreed Villa Rental Cost (A): 
Pool heating required:
Pool heating cost (B):
Refundable security deposit (C):  (GBP 100 or US $150)
Total rental cost:  (A+B+C)
Less booking deposit: (GBP 200 or US $300)
Balance due: 

Bookings are not accepted until the deposit of GBP 200 (US $300) has been paid.  The balance of the rental (plus the security deposit) is payable 8 weeks before the arrival date.

I have read and understood the Terms and Conditions relating to this booking and agree to be bound by them on behalf of all members of my party.  I am over 21 years of age.
Confirmed: 

Date:

Confirming and returning this form electronically constitutes agreement to the Terms and Conditions.
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