If this form confirms a telephone reservation,       Tick Here o

If this form confirms an e-mail reservation,           Tick Here o

Please print out this page and send it with a 10% deposit cheque to: Robertson and Webb Holidays, Rowen House, North Parade Gardens, Southwold, Suffolk IP26 6BW

Please complete all details below.

Name:                                ___________________________________

Address:                             ___________________________________

                                 ___________________________________

Post Code                          ___________________________________

 E-Mail Address :              ___________________________________

Telephone Number:        ___________________________________     (Daytime)

                                         ___________________________________      (Evening)

My Party Comprises of:

       o     Adult

       o     Children over 18 months

       o     Babies under 18 months

I wish to book a holiday in “Seaview” for one week commencing on Saturday ____________          2010, the Holiday Price for which is £________                     .

I enclose a cheque for £_________  payable to “Robertson and Webb Holidays” as a deposit for this holiday.

I agree to be bound by all the terms and conditions of the brochure issued by Robertson and Webb Holidays and displayed on the southwold-views.co.uk website.

Dated:       ___________________

Signed :     ____________________