Booking Form

Name:

Address:

Telephone:

Fax:

E-mail:

Number in Party:

(Adults/Children)

         Dates - from:

                        to:

I have read and agree to the booking conditions and enclose a Cheque for:

£                                    Pounds

Signature:

On signing this Booking form you have read

and agree to the Terms And Conditions

set out on the previous page.

When completed, please print off and send with your cheque to:

Adrienne Clarke

12 Chestnut Drive

Willand, Cullompton

Devon EX15 2SJ

The Lodge