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First Name:
Last Name:
Full Postal  Address:
Post/Zip Code:
Telephone Day :
Telephone Evening:
Guests Names:
Date From:
Date To:
Do you wish to have a heated pool?
Do you wish to have a cot provided?
Do you wish to have a high chair provided?
 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.
My deposit of (£200 or $400) made payable to "John Brown" has been posted.
Comments or special requests 

Please post your deposit to: 
John Brown 
Kings Road 
Chalfont St. Giles 
Bucks HP8 4HN