Holiday Form

	Please note that fields marked with * are required Please enter your name
Account Number *	Invalid account number
Full Name *	Please enter your name
Address *	Please enter your address
Post Code *	Invalid Input
Email *	Invalid email address
Telephone Number	Please enter your telephone number
	Please select your dates by using the drop down calendar.
Stop Date	Invalid Input
	This is the first day you do NOT require papers. If you are just restarting the account leave this field blank.
Restart Date *	Please enter the first day that you would like to resume deliveries
	This is the first day you would like to RESUME deliveries.
Do you require any local papers or magazines to be saved and delivered on your return?	YesNo Invalid Input
Please save the following local papers and magazines:	Invalid Input
Other information / comments:	Invalid Input