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North Buckham Farm
BOOKING  FORM - BED & BREAKFAST
Please see our booking conditions by clicking here

If you wish to book please complete this form as soon as possible and return with the 25% deposit
to the address below.  Provisional reservations must be confirmed within 3 working days.

Title                        First Name                                         Surname
Address:
. Post code:
Day Tel no:                                                                           Evening Tel no:
Mobile no:                                                                            Email:
Total number in party:
Arrival date:                                                                        Departure date:
Adults:
Name                                    B & B Rate           No. of nights           Cost
.
.
.
.
Children                                                                      Age at time
of holiday:
.
.
. .
. .
                                       Total cost of B & B                £
Deposit (25% of B&B total)    £                                            Balance remaining  £
Do you require Supper/High Teas on the evening you arrive              YES  /  NO
Are you vegetarian /or have dietary requirements?
Where did you originally hear about us?
I have read and accept the booking conditions (please ask for a copy if not seen)
Signed                                                          Please print                           Date         
We are unable to accept credit cards, please make your cheque payable to Mrs. P. M. Mitchell and send it with this form to:- 
Trish Mitchell,  North Buckham Farm, Beaminster, Dorset, DT8 3SH
 

 

 .
Office use - Date rec'd                                                    Confirmation/Map sent

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