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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.
| Name: | |
| Address: | |
| . | Post code: |
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| Telephone Number:- Day Evening: | . |
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| Mobile: Email: | . |
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| Arrival Date: | . |
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| Departure Date: | . |
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| Number in Party: Adults Children | . |
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| Where did you hear about us? | . |
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| TOTAL COST OF HOLIDAY 25% DEPOSIT | . |
| . | . |
| BALANCE NUMBER OF NIGHTS | . |
| . | |
| 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 | |
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| Office use - Date rec'd Confirmation sent | |
| Balance due Invoice no. | |