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Name: |
____________________________________________ |
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Address: |
____________________________________________ |
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____________________________________________ |
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Town: |
____________________________________________ |
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County: |
____________________________________________ |
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Postcode: |
______________________ |
Daytime telephone number (including Std Code): ___________________
Evening telephone number (including Std Code): ___________________
Number of nights: ______ Starting date: __________ Ending date: __________
Total number of adults ______ Total number of children (Under 16 years) ______
Accommodation Requirements.
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Number
of double rooms required = _____ |
(Only
1 double room available). |
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Number
of twin bedded rooms = _____ |
(Only
1 twin bedded room available). |
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Number
of single rooms required = _____ |
(Only
1 single room available). |
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Number
of adults: |
_____ @ £ 20.00 x
_____ nights = |
£
____________ |
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Adult
Evening Meals: |
_____ @ £
5.00 x _____ nights = |
£
____________ |
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Number
of accompanying children: |
_____ @ £
9.00 x _____ nights = |
£
____________ |
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Children’s
Evening Meals: |
_____ @ £
3.00 x _____ nights = |
£
____________ |
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Total Cost of holiday = |
£
____________ |
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Less 10% deposit = |
£
____________ |
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Overall outstanding
balance to pay (no later than 14 days
prior to commencement) = |
£
____________ |
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Please complete this form and sent it along with your deposit to.
Mrs. J Williams
Brightlycott Cottage
Shirwell Road (Please make cheques payable to: Mrs. J Williams)
Burridge
Devon.
EX31 4JJ
If you would prefer confirmation of this booking via email then please enter your email address:
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