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| Last Name: |
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| E-Mail |
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| Full Postal Address: |
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| Telephone Day : |
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| Telephone Evening: |
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| Guests Names: |
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| Date From: |
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| Date To: |
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| Year: |
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| Do you wish to have a heated pool? |
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| Do you wish to have a cot provided? |
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| Do you wish to have a high chair provided? |
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Please read the following statement;
I have read and understand the Terms and Conditions and accept that a booking will only be guaranteed upon receipt of a booking/security deposit.
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| My deposit of (£200 or $400) made payable to "John Brown" has been posted.
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| Comments or special requests |
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Please post your deposit to:
John Brown
Charnwood
Kings Road
Chalfont St. Giles
Bucks HP8 4HN
UK
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