BOOKING FORM

Blackclough Farmhouse and Barn

Dates: .............................. (start date, 3.p.m, leaving date 10.00am)

People in the party (please check property capacity):

Adults_________________ Children (2 years upwards)_______________

Babies________________

Please make up the following beds (House only -please check property details):

Double beds________ Single beds________

There is also a bed settee in the living room, a single futon in the main bedroom and a cot available - but with no linen provided.

There is no bedlinen or towels provided in the barn accommodation. Duvets and pillows are provided for one king-size bed, one double bed and four single beds. Please bring bed linen or sleeping bags.

Your name and address for confirmation:

_____________________________________________________________

__________________________________ Postcode _________________

Tel No. _______________________ Your date of birth _____________

INITIAL PAYMENT Potential breakages or damage requires a £200 deposit (please send in a separate cheque for this amount). ---------------------------------------------------- Deposit of 50% of change, by cheque please. (please read terms and conditions, and if necessary take out your own cancellation protection insurance, and further 50% six weeks before booking. OR Late Booking - If you are booking within eight weeks of your holiday full payment is required immediately. Please enter the full cost.

£200 £ £

I am over 18 years of age. I have read the Booking Terms and Conditions and agree to be bound by them.

Signed _____________________________ Date ______________

Cheques payable to: Edwina Brocklesby

Send Cheque along with this form to:

Sue Ryder

18 Milldale Avenue

Buxton

SK17 9BE

Tel: 01298 78500 Mobile: 07855 135 106