| Please send to Mrs. S Morris Holly Grove Farm, Church Pulverbatch, Shrewsbury 5Y5 8DD |
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| YOUR NAME
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| ADDRESS
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| TELEPHONE NUMBER MOBILE
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EMAIL ADDRESS
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| DATES YOU REQUIRE
THE COTTAGE:
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| NUMBER OF ADULTS
We can only accommodate four persons |
NAMES & AGES OF CHILDREN
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Please indicate if any of your party have allergies & give details
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| DETAILS OF YOUR PET
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| I enclose £100 for each week required, a non-returnable deposit, to secure the booking for the above dates (subject to them being available). I agree to pay the balance of £............ 28 days before the date of my arrival (Cheques should be payable to Mrs. S Morris) | |
| Signed
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Date
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