Please print, complete and post (with payment) to: T&S Richard, 118 High Street, Kirkcudbright DG6 4JQ
Holiday Dates: From:
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Holiday Dates: Until:
Name (Mr/Mrs/Ms/Miss):
Address:
Postcode:
Tel No (Day):
Tel No (Mobile/Eve):
Email Address:
My Party Comprises:- Please state whether Mr/Mrs/Ms/Miss (state age, at time of Holiday, if under 18)
1………………………………………………………………………………………… 2………………………………………………………………………………………… 3………………………………………………………………………………………… 4………………………………………………………………………………………… 5 (small child only)………………………………………………………………………. PAYMENT SUMMARY Deposit or Full Payment (Please indicate which) I enclose a cheque, made payable to T&S Richard for £…………………………… (Deposit must be at least £100). I declare that I am over 18 years of age and this booking is made in accordance with the Terms & Conditions.
Signature ......................................................
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