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Once completed please return to:
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Hilary Hall
Clough Head Farm
Ipstones
Staffordshire Moorlands
ST10 2LZ
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A deposit of £......... is enclosed (per unit per week)
The balance of £......... is payable by cash or cheque on arrival
Name
Address
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Postcode
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Telephone
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Cottage booked (please tick)
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THE STABLE  THE CARTSHED
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Arrival Date
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Number of Nights
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Expected time of arrival
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Number of people in party
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Dog(s)
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I have read, understood and agree with the terms and Conditions
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Signature
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..............................
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Date
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..............................
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How did you hear about us? ......................................................................................................
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