* denotes information required.

   Arrival date *              1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31      January February March April May June July August September October November December     2009

   Departure date*           1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31     January February March April May June July August September October November December     2009             

Lead Name must be over 25yrs old

Enter dgits only in telephone or fax with no spaces eg. 01992571828

Name *	Title Mr Mrs Ms Miss Dr.
E-mail *
Tel *
FAX

Address inc post code   *

Type your address inc post code here

Additional party members state title Mr Mrs Miss Miss Master & DOB if under 18

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Are you smokers ?  Yes No *

I have read and agree the booking conditions  No Yes * 

Choose method of payment:  I will make a PayPal payment of 50.00 per week I will send cheque / POrders within 3 days Cash by special delivery

£50.00 deposit per week booked

Please make cheques payable to Kingsway Holidays

Please indicate how you found us.

Press send once only