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Capernwray Holidays 2016 Brochure

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Booking Form (continued)<br />

Please complete in BLOCK CAPITALS after reading our Terms & Conditions<br />

Name Male / Female Date of Birth DD /MM /YYYY<br />

Address<br />

Postcode Tel<br />

Email<br />

Special Needs/Diet<br />

(Required for booking)<br />

Age Category A B C D E F G H I (circle)<br />

(See Booking Form final section for age categories)<br />

Do you require our cancellation insurance?<br />

(£1 per person per night)<br />

Yes<br />

No<br />

Deposit<br />

Cancellation<br />

Insurance of £<br />

Total<br />

£<br />

Deposit<br />

£ 25.00<br />

+<br />

=<br />

Name Male / Female Date of Birth DD /MM /YYYY<br />

Address<br />

Postcode Tel<br />

Email<br />

Special Needs/Diet<br />

(Required for booking)<br />

Age Category A B C D E F G H I (circle)<br />

(See Booking Form final section for age categories)<br />

Do you require our cancellation insurance?<br />

(£1 per person per night)<br />

Deposit<br />

Yes Cancellation<br />

No Insurance of £<br />

Total<br />

£<br />

Deposit<br />

£ 25.00<br />

+<br />

=

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