Bitterns Boom Booking Form

Please and Return to:

John Woodley. The Walled Garden, Town Thorns, Easenhall, Warwickshire. CV23 0JE

Mr / Mrs / Miss / Ms

Surname:                                                    First Name :                                         

Address:                                                                             

                                                                                               

                                                                                             

Postcode                                                                            

Tel: (day):                                                    (evening):                                                

Email Address:                                                                                                               

Other members of the party. (please give ages if under 18)

1.                                                                      2.                                                                     

3.                                                                      4.                                                                     

5.                                                                      6.                                                                     

7.                                                                      8.                                                                     

 Holiday date requested from:                /                    /                       Arrival 3.00pm to 6.00pm

                                             To:                /                    /                          Departure 9.30 am

Cot required: Yes/No.

Dogs (₤ 20 extra per dog per week max 2 dogs)                                                    

Signature:                                                          Date:                /                     /                   

10% deposit required with booking, (cash or cheque accepted) full amount payable 4 weeks

before holiday.

Please make cheques payable to: A.D.Woodley enterprises ltd.

for further help or information please phone: 01788 833325.

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