ÿþ<html> <meta name="Microsoft Theme" content="nature 001"> <body background="nabkgnd.jpg" bgcolor="#FFFFFF" text="#000000" link="#993333" vlink="#333399" alink="#006633"> <p align="center"><img border="0" src="TR00236_.wmf" width="140" height="23"><img border="0" src="TR00236_.wmf" width="140" height="23"><img border="0" src="TR00236_.wmf" width="140" height="23"><img border="0" src="TR00236_.wmf" width="140" height="23"></p> </font> </font> </font> </font> </font> </font> </font> </font> </font> </font> </font> <!--mstheme--></font> <h2 align="center"><!--mstheme--><font color="#336633"><font color="#0000FF" size="4"><u><b>SIDMOUTH&nbsp;&nbsp; HOLIDAY&nbsp;&nbsp; HOUSE</b></u></font><!--mstheme--></font></h2> </font> </font> </font> </font> </font> </font> </font> </font> </font> </font> </font> <!--mstheme--></font> <h2><!--mstheme--><font color="#336633"><font color="#FF0000" size="4">Booking Enquiry Form</font><!--mstheme--></font></h2> <form method="post" action="http://seaside-holiday-house.co.uk/cgi-bin/cgiemail/SidmouthEnquiry.asc"> <input type=text name="realname" size=30> Please enter your name<br/> <input type=text name="email" size=30> Please enter your email address<br/> <input type=text name="Dates" size=30> Please enter the dates you wish to reserve here. <br/> This will be confirmed upon receipt of deposit.<br/> <input type=text name="Phone" size=11> Please enter your phone number<br/> <input type=text name="Adults" size=1> Please enter the number of adults in your party<br/> <input type=text name="Children" size=1> Please enter the number of children in your party<br/> <input type=text name="Dog" size=1> Will you be bringing a dog? Y/N<br/> <input type=text name="Cot" size=1> Do you require a cot? Y/N<br/> <textarea name="Address" cols=50 rows=5>Please enter your home address here:</textarea><br/> <textarea name="Source" cols=50 rows=10>Please can you let us know which search engine or other web site led you to this Sidmouth cottage as this will help us with future advertising:</textarea><br/> <textarea name="Comments" cols=50 rows=10>If you have any other comments, suggestions or querries please enter them below:</textarea><br/> <p> <input type= submit value="Send e-mail"> <input type = "reset" value = "Clear form and start again" /></p> </form> <p> Please send 30% of the total cost of your holiday as deposit and remainder to arrive at least 4 weeks prior to the start of your holiday. Please make cheque payable to: <br/> Mr C. Seymour or Ms C. E. Duggleby <br/> 26 Belmont Rd<br/> Stroud<br/> Gloucs.<br/> GL5 1HH <br/> Tel 01453 766773 </p> <p class="MsoNormal" align="center" style="text-align: left"><font size="2">Back to:&nbsp;<a href="http://www.seaside-holiday-house.co.uk/index.html">Home</a></font></p> <p class="MsoNormal" align="center" style="text-align: left"><font size="2">Back to: <a href="Availability.htm">Prices and availability</a></font></p> <p class="MsoNormal" align="center"> <img border="0" src="SY01174_.wmf" width="482" height="87"></p> <p class="MsoNormal" align="center"> <!--webbot bot="Timestamp" S-Type="EDITED" S-Format="%d/%m/%Y" startspan -->14/08/2010<!--webbot bot="Timestamp" endspan i-checksum="12614" --></p> <p class="MsoNormal" align="center"> &nbsp;</p> <p class="MsoNormal" align="center" style="text-align: left">&nbsp;</p> </font> </font> </font> </font> </font> </font> </font> </font> </font> </font> </font> <!--mstheme--></font> </body> </html>