Printable Booking Form
Please complete this form in block capitals
and send with your deposit
to the address at the foot of this page
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Name: ...................................................................................................................................................
Address: ..............................................................................................................................................
...............................................................................................................................................................
Telephone Number: .........................................
E-mail: .....................................................................
Please reserve High Town Farm Cottage for ...... week(s)
commencing Saturday ..................................
Or for the following short break: ......................................................................................................
Accommodation is required for:
No. of Adults: ............ Children under 16:.............
Enclosed is a deposit (20%) of £............. / full
payment of £...............
(Please enclose the payment in full if there is less than
eight weeks before your stay,
otherwise a deposit of 20% is required.)
Please make cheques payable to Mr J. Smith-Jackson.
I have read the booking conditions
and agree to abide by them.
Signed: ......................................................
Date: .....................................
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