189-205 Pentonville Road
London N1 9NF
Tel. 0207 841 0480
Fax. 0207 278 7087
Summer Breaks Booking Request Form 2008
Please print this form and fax it to us on +44 (0)207 278 7087
| Family Name: | First Name: | male
female
|
| Address: |
Post Code: | |
| Email: | ||
| Phone daytime: | evening: | mobile: |
| Choice of Residence Dinwiddy House Manna Ash House Paul Robeson House (room only) Alliance House Any |
Number of rooms: ________ @ £ ___________ per night X ________ nights = £ ___________(total) |
Arrival Date (dd/mm/yyyy): ________________________Depart Date: ________________________ |
| Card Type: Visa Credit Visa Debit Visa Delta Mastercard Maestro/Switch JCB |
|
Card Number: _________________________________________ Exp:_____________ Issue:_________ |
Normally we will reply to your application within 72 hours to confirm booking. Please note that your booking request is NOT accepted until you have received confirmation from our accommodation office.
Signatures and Declarations
I have read and agree to be bound by the terms and conditions for this booking.
I hereby consent to Sanctuary Management Services processing my information, including any sensitive personal data relating to me for the purposes of processing my application for accommodation provided that such processing is carried out in accordance with the Data Protection Act 1988. I understand that it may be necessary for Sanctuary Management Services to disclose my sensitive personal data to its parent company, Sanctuary Housing Group, for the purpose of managing my booking.
Signature:______________________________________________Date:________________
We have a duty to take reasonable steps to ensure that access to our services is not impossible or unreasonably difficult for people with disabilities. If you would like to tell us anything that would help us to fulfil this duty please provide this information on a separate sheet if necessary.