Booking Form
Please phone/email to check availability and provisionally book your holiday. Tel.01884 861693
email:middlewick.barton@tiscali.co.uk
Print this form and send it with your deposit to:-

Middlewick Barton
, Nomansland, Tiverton, Devon EX16 8NP

Name of Hirer.............................................................................................
Address......................................................................................................
...................................................................................................................
Post Code..........................Tel. No............................................................
Mobile Phone.........................................................
email.....................................................................................................
Names of the people in your party (include age if under 18)
.............................................................................................................
.............................................................................................................
.............................................................................................................
.............................................................................................................

Arrival Date - After 3.00pm .......................................
Departure Date - By 10.00am ...................................
Number of nights.................

 Cost of Stay £_______
 25% deposit £_______
 Balance remaining - must be paid  
 1 month before arrival date £_______

Cheques made payable to Penny Lockwood
Special Requests.........................................................................................
...................................................................................................................
...................................................................................................................

 High Chair Yes/No

 Cot Yes/No


I have read and accepted the conditions of booking.

Signature..................................................................Date...........................
Have you stayed with us before Yes/No                                                     
If no, where did you find our site?................................................................

 

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