If you are human, leave this field blank.Holiday Lodge Booking FormPLEASE ONLY FILL IN THIS FORM IF YOU HAVE CONFIRMED AVAILABILITY FIRSTName *Address *CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin IslandsZip codeTelephone *MobileEmail *At the cost of £ *Total No, in Party *Number of Adults *Number of ChildrenTERMSView Polzeath Beach Holiday park's full terms and condition hereWe will arrive on Friday *N.B. Arrival must be after 3:00pm and before 5:00pm, unless by prior arrangement.and depart on Friday *N.B. Departure must be before 9:30am.Weekly terms include all Electricity, Gas, Heating etc. Holiday Homes are fully equipped except for Linen. Please bring sheets, pillow cases, duvet covers and towels with you.Maximum 1 Car Only please enter registration ( Second Cars will be charged £25) *PARKING AVAILABLE FOR PEOPLE STAYING ON SITE ONLY All breakages and damage Must be paid for. NO PETS ACCEPTED IN ANY TYPE OF ACCOMMODATION & NO SMOKING. CANCELLATIONS: Full payment will be due on holidays cancelled less than 6 weeks before commencement. AMENDMENTS: Once the booking form has been recieved no further amendments will be made. DEPOSIT: At a rate of £250 per holiday lodge, per week. The non-refundable Deposit is deducted from the Total Payable 6 weeks prior to arrival. BACS, debit or credit card payments accepted I agree to Polzeath Beach Holiday Park’s Terms and conditions and to pay the balance due 6 weeks prior to arrival. *Reset SignatureSignature is required.(please sign on line above) BOOKING CONDITIONSPlease fill out giving FULL NAMES AND DETAILS OF EACH PERSON OCCUPYING THE HOLIDAY HOMEGuest 1 *Age if under 25Guest 2Age if under 25Guest 3Age if under 25Guest 4Age if under 25Guest 5Age if under 25Guest 6Age if under 25 USE OF YOUR HOLIDAY HOME: - Only those listed on the Booking Form / Confirmation can occupy your accommodation and use the facilities on the site. If this legal requirement is not met, your booking will be invalidated and you will be asked to leave, with no refund given. UNREASONABLE BEHAVIOUR:- For the convenience of our guests, we reserve the right to terminate a holiday without compensation, where the unreasonable behaviour of a person named on the Booking Form or other guests might impair the enjoyment, comfort or health of other guests. PRICES:- Prices include VAT. We reserve the right to amend the VAT element of prices in the event of a change in the rate of VAT. We also reserve the right to amend prices where such amendments arise from government action. ANY QUESTIONS:- We try to ensure that the brochure and booking forms have all the information you need to book your holiday. Should you have any queries or special requirements not covered please ring us on 01208 863320 - 9.00am to 5.00pm Monday - Saturday.Submit