Please complete this booking form, print and sign, then send to:-
Ann Prosser, Waste Farm, Hurley, Atherstone, Warwickshire. CV9 2LR.
If you have any queries please email me at
ann@hipsley.co.uk
| Name: | |||||
| Address1: | |||||
| Address2: | |||||
| Town: | County: | ||||
| Country: | Postcode: | ||||
| Tel: Day: | Tel: Home: | ||||
| Fax: | Mobile: | ||||
| Email: | |||||
| Arrival Date: | Depart Date: | ||||
| No. of guests: | * No. of dogs: | ||||
| No. of children: | Ages of children: | ||||
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Name of Cottage: |
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| Please select item(s) and no. required: | |||||
| One: | Cot (babies - linen not provided) | One: |
Highchair (babies) | ||
| Any other requirements/groceries: | |||||
| How did you hear about us? | |||||
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£50 deposit enclosed, balance of due 4 weeks before arrival.
Method of Payment: Sterling cheque payable to Ann Prosser or
Signed.............................................................. Date....................