Booking Form

 

Name                                                 …………………………………………

 

Address                                             …………………………………………

 

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Post Code                                         …………………………………………

 

Home phone number                     …………………………………………

 

Mobile phone number                    …………………………………………

 

Email address                                  …………………………………………

 

Date of arrival                       ………………………………Time…………...

 

Date of departure                 ………………………………

 

Number of Adults    ……………………Number of children………………

 

Cot required?            ……………………High chair?  .....................................

 

Single or Double beds – which rooms?..........................................................

 

Any pets?..........................................................................................................

 

Special requirements?....................................................................................

 

Deposit enclosed/being transferred         £……………………………….

Cheques made payable to Mrs. R. J. Burgess

Cheque or account in the name of          ………………………………………………………

 

How did you find us – which website?........................................................................................

 

 

Signed                       …………………………………………………………