* Required information

Guest 1  *First Name:    *Surname:   

Guest 2  *First Name:    *Surname:

Guest 3  *First Name:    *Surname:

Guest 4  *First Name:    *Surname:

Guest 5  *First Name:    *Surname:

Guest 6  *First Name:    *Surname:

*Number of Guests:     1 2 3 4 5 6

*Address:
 

*Tel Number:        

Mobile Number:   

 *Email Address:  

*Arrival Date:          1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2005 2006 2007

*Departure Date:  1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2005 2006 2007

*Number of nights: 1 2 3 4 5 6 7 8 9 10 12 13 14 15 16 17 18 19 20 21

Approximate time of arrival:   2 pm 3 pm 4 pm 5 pm 6 pm 7 pm 8 pm 9 pm 10 pm 11 pm

Special Dietary Requirements:
 

The nightly rate is for a double bedded room and includes
breakfast for two people.

Payment must be in cash or by cheque made payable to Mrs S Rook