Name: |
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Address: |
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Telephone No.: |
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Email: |
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Type of Caravan: |
Standard Super 12 Wheelchair | |
Dates: (DD/MM/YYYY) |
Arrive: |
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| Depart: | ||
Options: |
Special Fortnight | |
Group Numbers: |
Adults: | |
| Children: | ||
Will you bring a Dog? |
No Yes | |
Will you require bed linen? |
No Yes | |
Please list the names of everyone in your party, including children |
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| We keep your booking details on a computer database for our
own records. We do not give your details to any other organisation.
If however you wish us to delete your details after your
holiday, please tick this box
I am over 18 years of age and have read and accepted the |
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