Booking Form


BOOKING FORM

Use this form only if you wish to reserve a Villa by e-mail. Bookings by this form can not be guaranteed until a deposit has been received by Kerkyra Villas.

If you would prefer to post this booking form with your deposit click here.

Lead Name:
Address:
Postcode:

Telephone (home):
Telephone (work):
Mobile:
Email Address:

Passengers

Title

Initials

Surname

D.O.B.

Age

Passenger 1:

Passenger 2:

Passenger 3:

Passenger 4:

Passenger 5:

Passenger 6:

Other Details

Villa Booked:

Arrival Date :

Departure Date :

Cot? (Yes/No):

High Chair? (Yes/No):

Special Requests :

Boat Hire? (Dates) :

As Lead Passenger, I have read and agree with the booking conditions:

I have sent a cheque payable to 'Kerkyra Villas' in the post:

Date you filled out this form:

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