North Buckham Farm

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NORTH BUCKHAM FARM - Booking Form for SELF CATERING

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:

Number of nights:

Number in party: Adults: Children:

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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