Please complete and return this form to my email attachemnt or post to

 Jonathan Bomford, Springhill House, Salters Lane, Lower Moor, PERSHORE, Worcs, WR10 2PE.




Telephone: Home                                             Mobile                                                            



Number of people in your party                                   


Note: Penarrow House sleeps 10 in 5 Bedrooms (one double and four twin bedrooms)


Date required: From                             To                          (based on a Friday changeover)




I enclose a cheque made payable to M A Bomford   (If you wish to make an internet transfer, see below for our Bank details)


As a 20% deposit         of the total holiday cost of                

The balance of            will be paid six weeks before our arrival due on_______


Estimated time of arrival                        am/pm on(day) (month)            (year)              


Please note that the property will not be available for occupation until 3 pm on the Friday of your arrival and must be vacated by 10 am on the Friday of your departure.


I declare that I am over 18 years of age and agree that this booking is made in accordance with the terms and conditions which I have read.


I will not be bringing a pet to the house. (Delete if agreed otherwise with the owner)




Signature of person making the booking                                                            Date       _