Please print this form out, complete it, and send it with your deposit cheque to Ms M. Blake, 18 Naseby Road, Belper, Derbyshire DE56 0ER.
Name (Guest Leader): .............................................................
Address (for : .............................................................
correspondence) .............................................................
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.......................... Post Code: ....................
Telephone: Daytime: ............................. Evening: ............................. Mobile: .............................
Email: ..........................................................
Date of arrival: .......................... Flight arrival time: ........................... Flight No.: ..........................
Date of departure: .......................... Flight departure time: ...........................
Airport collection required? Yes/No/To be discussed nearer the time
To be completed for all guest members please:
| Title | First Name | Surname | Status: couples, singles, sharing, etc. | Age if under 18 |
|---|---|---|---|---|
| 1. | ||||
| 2. | ||||
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Additional requirements (cot, highchair etc)
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Welcome pack on arrival? Yes/No/Please discuss our requirements
Deposit paid: £................................
I agree to pay the balance no later than 8 weeks before departure as outlined in the Booking Conditions
Signed: ..................................................
Date: ..................................................
On receipt of payment, confirmation will be sent by e-mail with details of the balance and due date