Booking Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=200 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <IMG SRC="044c0900.jpg" border=0 width="192" height="144" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </td> <td valign="top" BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>Laird's Cottage, Rothbury, Northumberland on the edge of the Northumberland National Park                                                                   </B></FONT>    |     <A HREF="index.htm" TARGET="_top" TITLE="Lairds Cottage, Rothbury, Northumberland"><U>home</U></A></div> <div> <A HREF="id76.htm" TARGET="_top" TITLE="January 2009"><U>January 2009</U></A>   |   <A HREF="id77.htm" TARGET="_top" TITLE="February 2009"><U>February 2009</U></A>   |   <A HREF="id78.htm" TARGET="_top" TITLE="March 2009"><U>March 2009</U></A>   |   <A HREF="id79.htm" TARGET="_top" TITLE="April 2009"><U>April 2009</U></A>   |   <A HREF="id80.htm" TARGET="_top" TITLE="May 2008"><U>May 2008</U></A>   |   <A HREF="id81.htm" TARGET="_top" TITLE="June 2008"><U>June 2008</U></A>   |   <A HREF="id82.htm" TARGET="_top" TITLE="July 2009"><U>July 2009</U></A>   |   <A HREF="id83.htm" TARGET="_top" TITLE="August 2009"><U>August 2009</U></A>   |   <A HREF="id84.htm" TARGET="_top" TITLE="September 2009"><U>September 2009</U></A>   |   <A HREF="id85.htm" TARGET="_top" TITLE="October 2009"><U>October 2009</U></A>   |   <A HREF="id86.htm" TARGET="_top" TITLE="November 2009"><U>November 2009</U></A>   |   <A HREF="id87.htm" TARGET="_top" TITLE="December 2009"><U>December 2009</U></A>   |   <A HREF="id89.htm" TARGET="_top" TITLE="Booking conditions"><U>Booking conditions</U></A>   |   <B>Booking Form</B></div> <div> Booking Form</div> <div> <B>                                 Lairds Cottage Booking Form</B></div> <bR> <div> <B>(Please complete this form and return it to: David Matthews, 24 Earnshaw Way,  Whitley Bay, </B></div> <div> <B>Tyne and Wear, NE25 9UN or by e-mail to: enquiries@lairdscottage.co.uk )</B></div> <bR> <div> <TABLE BORDER="2" CELLPADDING="1" CELLSPACING="1" WIDTH="601" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="293"><div> <B>Holiday dates: </B></div> <bR> </tD> <tD VALIGN=TOP WIDTH="293"><div> <B>Number in party:</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="293"><div> <B>Start</B></div> <bR> </tD> <tD VALIGN=TOP WIDTH="293"><div> <B>Adults</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="293"><div> <B>End</B></div> <bR> </tD> <tD VALIGN=TOP WIDTH="293"><div> <B>Children 2 to 11 years</B></div> </tD> </tR> <tR> <tD VALIGN=TOP ROWSPAN=2 HEIGHT= 32 WIDTH="293"><div> <B>Name (block capitals please):</B></div> <bR> </tD> <tD VALIGN=TOP WIDTH="293"><div> <B>Children 12 years and over</B></div> <bR> </tD> </tR> <tR> <tD VALIGN=TOP WIDTH="293"><div> <B>Infants under 2 years</B></div> <bR> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 128 WIDTH="293"><div> <B>Address (block capitals please):</B></div> <bR> </tD> <tD VALIGN=TOP><NOBR><div> <B>Extras:</B></div> <bR> <div> <B>Cots (2 travel cots available free)</B></div> <bR> <div> <B>High Chairs (2 available free)</B></div> <bR> <div> <B>Linen  (included)</B></div> <bR> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="293"><div> <B>Post code:</B></div> <bR> </tD> <tD VALIGN=TOP WIDTH="293"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="32" ALIGN="bottom" WIDTH="293" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 ><NOBR><div> <B>Telephone Number including area code:</B></div> <bR> </NOBR></tD> <tD VALIGN=TOP WIDTH="293"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="32" ALIGN="bottom" WIDTH="293" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="293"><div> <B>Daytime</B></div> <bR> </tD> <tD VALIGN=TOP WIDTH="293"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="32" ALIGN="bottom" WIDTH="293" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="293"><div> <B>Evening</B></div> <bR> </tD> <tD VALIGN=TOP WIDTH="293"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="32" ALIGN="bottom" WIDTH="293" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 WIDTH="293"><div> <B>E-mail address</B></div> <bR> </tD> <tD VALIGN=TOP WIDTH="293"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="32" ALIGN="bottom" WIDTH="293" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 65 WIDTH="589"><bR> <div> <I><B>Deposit cheque for 25% of rent to be made payable to David Matthews. Balance to be forwarded 4 weeks before commencement of holiday together with a refundable damage deposit of £200.</B></I></div> <bR> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 97 WIDTH="589"><div> <B>Declaration:</B></div> <DIV ALIGN="LEFT"></DIV> <div> I undertake to leave the property in a clean and tidy condition and agree to the booking conditions. I am over 18 years of age.</div> <bR> <div> <B>     </B></div> <div> <B>Signed:                                                               Date:</B></div> </tD> </tR> </TABLE></div> <bR> <bR> <bR> </td> </tr></table></body>