AA 

RESERVATION FORM
To: Mr & Mrs J. C. Dascombe
Burrowhayes Farm,
West Luccombe, Porlock,
Minehead, Somerset. TA24 8HT

English Tourism Council - 4 Stars

PLEASE PRINT THESE PAGES TO COMPLETE THE FORM AND POST TO THE ADDRESS ABOVE

 HIRE OF CARAVAN
Deposit Required: £50.00 per caravan per week

Caravan required for: ________ Adults _________ Children    One Dog: YES / NO

Please state ages of children ___________________________

Preferred Category   A    B    C    D

Caravan No._______________ has been provisionally reserved.

Dates required: Arrival:______________________Departure:___________________________


Name:_________________________________ Address:_________________________

________________________________________________________________________

Postcode:_____________________Telephone:__________________________________

Email Address:____________________________________________________________

Please accept my reservation as detailed above.

 my cheque for £__________ is enclosed, payable to "Burrowhayes Farm"

 Please debit £__________ from my Visa/Mastercard/Switch card
 ,  ,  ,  ,

Valid From  / Issue No. (Switch)________
Expiry Date
/ Security Code (Last three digits of number on signature strip)

Please note any additional requirements:_____________________________________________

________________________________________________________________________

I understand that once the booking has been acknowledged, the deposit is not returnable. I have read and agree to abide by the terms for reservations stated in the 2008 tariff.


Signed:_______________________________
Date:______________________________

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