If you haven’t already confirmed availability of your chosen dates please do so via the form on the contact page before you send this booking form.

Please fill in this form and submit, once done please print, sign and post to:

The Raku Garden
37 Barns Dene,
Harpenden,
Herts,
AL5 2HH
England

Name*
Email*
Telephone*
Alternative Telephone
Address
Date of Birth (DD/MM/YYYY) / /
Passport Number
Passport Exp. Date / /
Emergency contact information
Sex
Male Female

Confirmed Start Date / /
Confirmed Finish Date / /

To View full details of available accommodation click here.

Name of desired apartment
OR
Size and location of required accommodation
Dietary requirements
(please specify any dietary needs)
Medical details
(please advise us on any
relevant medical conditions)

Payment details

for further information on deposits and payment please see the booking conditions

I am paying by bank transfer to the following account

BIC: LOYDGB21761
IBAN: GB63 LOYD 3084 5211 0482 68

And/OR

I have included a cheque for: £
Please make cheques payable to:

J Montgomery-Smith
Click here to view booking conditions

I have read and agree to the booking conditions *

* mandatory fields