Name :
Email :
Address :
Town/City :
Telephone Number :
May we contact you :	Yes No
Preferred means of us contacting you :	Email Telephone
Do you wish to make a booking for the Villa :	Yes No
Expected 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 2010 2011 2012 2013 2014 2015
Expected 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 2010 2011 2012 2013 2014 2015
Will you require the swimming pool to be heated for your stay :	Yes No
Message:

For further information about rental prices please contact

Steve & Christine Phillips

101 Bridwell Road

Weston Mill

Plymouth

England

Tel: ++44 (0)1752 367086

E-mail: stevephillips_99_uk@yahoo.co.uk