Beachside Bungalows
Fort Warden Road, Colwell Bay, Isle of Wight, PO39 0DA     Telephone 01983 752511

This form can be completed on-screen, printed, signed and posted to the address above.
It can NOT be sent electronically, can only be seen by you, and is therefore secure.

Reservation Form & Club Membership

Please reserve
Economy   2 bedroom Central Heated
3 bedroom Holiday Bungalow   4 bedroom Chalet Bungalow
Ground floor Maisonette   First floor Maisonette

For the persons named below for days
From 2 p.m. on
To   10 a.m. on

I enclose £ as deposit for booking and agree to pay the balance 30 days prior
to taking possession.
Cheques, Postal Orders etc. should be made payable to Beachside Bungalows
OR
Visa/Mastercard number   Expiry Date

Security Number (last 3 digits on back of card)

Advertisement seen in
Number of Dogs              Cot required           I am a previous visitor

Name and address of cardholder to appear first on booking form please.
Mr/Mrs
Miss/Ms
Surname & Initials
(or as on Credit Card)
Age if
under 21
Full Address of person
making booking
Send a brochure to a friend's address?
Your telephone number  
  From / To
Date e.g.
21.07.05
Time e.g.
10.30am
Office Use
Wight
Link
Lymington/Yarmouth
 
Portsmouth/Fisbourne
 
Yarmouth/Lymington
 
Fishbourne/Portsmouth
 
Red
Funnel
Southampton/Cowes
 
Cowes/Southampton
 

Signed

Date
  



Office use: File No ...................... Accom. Alloc. ..............