BOOKING FORM

Julia Smith
103, Tanworth Lane,
Shirley,
Solihull
West Midlands  B90 4DE

NAME: ___________________________________

ADDRESS:_________________________________

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Telephone Number: ___________________________________________ 

email address: _______________________________________________

WEEK(S) BOOKED __________________________________________________

I ENCLOSE A DEPOSIT OF: __________________________

I WILL BE BRINGING  _______  GUESTS (6 Max. Total)

I WILL BE BRINGING ________  DOGS

How Did you find out about the cottage? __________________________________
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Signed: __________________________________________

I / We have read and agree to the Booking Conditions (see link)