CEI BACH COUNTRY CLUB LTD 
PARC-Y-BRWCS, 
CEI BACH, NEW QUAY,
CEREDIGION, WALES, SA45 9SL.
TELEPHONE / FAX 01545 580 237 		Booking Form 2006

Ref. No..................................

Name........................................................................................................................................
Address      ..............................................................................................................................
                     ..............................................................................................................................
                     ..............................................................................................................................
                     ..............................................................................................................................

Post Code.............:..............Telephone no..............................................
Arrival Date............................Departure Date....................................
Type of Pitch (tick) : Caravan         Tent           Motor Home      Electric hook up  
Second Car:  yes / no  add £2 per night to cost if answer is yes.
 Pitch choice:   1st..........................2nd ..................... 3rd ........................
Total number of nights ................. Total number in group ........................
Number of dogs ............ Breed of dogs ........................................................

PLEASE NOTE THAT A DEPOSIT OF £20.00 PER WEEK PER PITCH IS REQUIRED WHEN 
BOOKING YOUR HOLIDAY, AND MUST BE RETURNED WITH THIS BOOKING FORM.

FULL PAYMENT DUE 28 DAYS BEFORE ARRIVAL.
Cheques payable to:  CEI BACH COUNTRY CLUB LTD

CREDIT CARD DETAILS
CARD TYPE...........................................................
CARD NUMBER....................................................
EXPIRY DATE.......................................................
VALID FROM................ISSUE NUMBER...........
SECURITY CODE................................................
 (LAST 3 NUMBERS ON SIGNATURE STRIP) 		 PAYMENT DETAILS
TOTAL PITCH CHARGE        £.............
2nd CAR CHARGE                 £.............
DOGS CHARGE                     £.............
6TH PERSON OR MORE      £.............
TOTAL COST                          £.............
DEPOSIT PAYING                  £.............
BALANCE PAYING                £.............  

 

PERSONS RESPONSIBLE FOR BOOKING.    PLEASE ENSURE ALL PARTS OF THIS
 BOOKING FORM ARE COMPLETE AND RETURNED TO THE ABOVE ADDRESS.
I HAVE READ, AND AGREE TO THE BOOKING CONDITIONS SET OUT WITHIN THIS BOOKING FORM (CLICK HERE TO SEE CONDITIONS)   AND AGREE TO THEM IN THEIR ENTIRETY. I AM OVER 18 YEARS OF AGE.

SIGNED........................................................... DATE ........................................

Details of Holiday Group.

Mr./Ms. Initials Surname Mr./Ms. Initials Surname
           
           
           
           
           
 

BOOKING FORM MUST BE COMPLETED AND RETURNED WITH YOUR DEPOSIT OR FULL PAYMENT WITHIN 10 DAYS, OR YOUR BOOKING WILL BE AUTOMATICALLY CANCELLED.