General Contact
Name
Address
Town / City
State / County
Postal / Zip Code
Country
Telephone No.
E-mail Address
Reason For Contact?
Questions or
Comments

Please continue to fill out the form below if you are inquiring about renting our Luxurious Disney Villa.

Name (Person Responsible for Booking)
Address
Town / City
State / County
Postal / Zip Code
Country
Daytime Telephone No.
Evening Telephone No.
E-mail Address
Number of Adults
Number of Children
Arrival Date
Departure Date
Deposit
Total Due
Balance Due (6 weeks prior to arrival)
Details of Party Members
  Title Initial Surname Adult / Child
1
2
3
4
5
6
7
8

I have read the details and booking conditions and agree on behalf of all of my party to adhere to the conditions stipulated. I am over 18 years old.

Signed
Date


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Contact Us On:
(0121) 684 5721 or (0121) 453 8257 or (0786) 650 6366 or (0797) 363 6158 or (0795) 710 4017

aldv@hotmail.co.uk

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