Name:
...................................................................
Address:
...............................................................
.............................................................................
Post
Code: ............................................................
Telephone
No: .............................................
E-mail
address: ............................................
Date
of Arrival: .............................................
Date
of Department: ....................................
Number
in party: ..........................................
Accommodation
please indicate
Single
Room: ...............
Twin
Room: ..................
Double
en-suite: ...........
Family
suite: .................
I have enclosed
a deposite of £50 made payable to 'J.Brake' and I am aware that
the full outstanding balance is due on arrival at Bre-Pen Farm.
Signed:
..........................................................
Dated:
............................................................
How did you hear
about us? .............................