Prior to filling in the booking form please telephone Mrs Perren on 0113 2683102 to discuss your proposed dates.
Complete the form below, press submit. The newly generated form will have the cost of your holiday automatically calculated, this then needs to be printed off and signed. Enclose your non refundable deposit of £50 for every week booked and post it to:

Mrs J Perren
Pike Born House
2 North Park Grove
Roundhay
Leeds
LS8 1JJ

Your completed booking form and full non refundable deposit much reach Mrs. Perren within 5 days of reserving your holiday by telephone. Full payment must be made at least 8 weeks before your holiday

Name

Address

Telephone

Email

Arrival Date

Departure Date

Days Staying

Name / Age (if under 18) of others in party

Name / Age of others in party

Name / Age of others in party

Name / Age of others in party

Dog? (£15 Extra per week)
yes
no

Optional end of stay clean? (£20 Extra, £30 with a dog)
yes
no

Total cost of rental for all weeks you wish to book - Do not add additional amounts for Dogs etc.
£

Where did you hear about us?
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