North Buckham Farm

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NORTH BUCKHAM FARM - Booking Form for BED & BREAKFAST

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.

Your title: (Mr, Mrs, etc.)

Your first name:

Your surname:

Your Email Address:

Your address:

Your Postcode:

Your telephone number(s):

Your mobile number:

Arrival and departure dates:

Do you require supper/high tea on the evening of arrival?

Are there any vegetarian or
other dietary requirements?

Total number in party:

Adult's names:

Children's names
and ages at time of visit:

B&B rate: £ Number of nights: Total cost: £

Deposit 25%: £ Balance remaining: £

I have read and I accept the booking conditions.

Signed: Print name: 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

Where did you hear about us?

Please tick the box if you do not wish to be contacted by us in the future:

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