Lodges,Pine Cabins,Holiday Homes,Caravans,Self catering accommodation - Old Mill, St Helens - overlooking Bembridge Harbour

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PRINTABLE PROVISIONAL BOOKING FORM
   
Old Mill Holiday Park ltd: Booking Form
Total C/N No.
Dep Pd Type
Bal Pd Type
Ferry booked Rec Sent
To avoid disappointment please call to make a provisional reservation
Telephone: 01983 872507 Email: mail@oldmill.co.uk
 
1
Arrival date after 2pm dd/mm/yyyy
Day
Departure date by 10am dd/mm/yyyy
Day
Est Time of Arrival 24hr Format
No of Nights
Unit Type
Preferred location (optional)
2
Your full name and address
Name
How did you hear about us? 
Address
Postcode 
Tel. No.       Work No.
Mobile No. 
Email address Will you be travelling by car?   Y N
Make and model of vehicle 1 Vehicle 1 Registration 
Make and model of vehicle 2 Vehicle 2 Registration 
3
Please enter the total number of your party and their details. Sorry no single sex groups of under 25s.
Total Number of Party
Age Age
Mr/Mrs/Miss Initials Surname
 0-4
5-15
 16-25
25+
 Mr/Mrs/Miss Initials Surname
0-4
5-15
16-25
25+
1.
5.
2.
6.
3.
7.
4.
No. of previously registered pets
4
Ferry Required    
Car
Ferry Route Outward Journey Return Journey Numbers Travel
Height
Port. - Fish. Lim. -Yar. South. - Cowes Date Time
Earlier
Later
 Date Time
Earlier
Later
Adult
Child
Infant
Over
2.26 m
Car 1
Car 2
5
Any requests e.g. disabled ferry spaces, disabled parking, assistance with luggage etc
             
6
I have read and agree on behalf of all members of my party to abide by the terms and conditions as currently printed by Old Mill Holiday Park ltd. I agree to pay the balance no later than 6 weeks before the start of my holiday. (No reminder is sent).
    Signature.........................................................           Dated...................................  I Accept  
All bookings are accepted at the company's discretion . All accommodation is non-smoking.    
7
Payment. For cheque payments please make payable to Old Mill Holiday Park Ltd.
I enclose 25% Deposit / Full Payment £ including compulsory cancellation plan unless:  
   
I have my own holiday insurance with: Company name Policy Number
Please debit my debit card credit card + 1%
Cardholder address if different from above. House No.
Post Code 
Card No.
CCV No. 
Start date (MM / YY) Expiry date  (MM / YY)
Issue Number 
Signature.........................................................           Dated................................... 


Cheques to Old Mill Holiday Park Ltd
Post to: Old Mill Holiday Park, Mill Road, St Helens, Isle of Wight, PO33 1UE