Name ....................................................................................................................................
Address ..........................................................................................................................................
.................................................................................................................................................
Postcode .........................................................................................................................................
Telephone No. ....................................................................................................................................
Mobile Telephone No. ......................................................................................................................
E-mail............................................................................................................................................
Arrival date............................................................................................
Departure date................................................................................
Number of nights............................................................................ Number in Party
Adults ................................................
Children .......................(Girls aged)......................(Boys aged).........................
I would like to bookRoom/s (please tick & circle where necessary);
"Blue-forget-me-not" (Double bed with ensuite shower & W.C.)..........
"Yellow Primrose" (Double bed with Ensuite Bath & W.C.)....................
"Pink Campion" (Double bed with private bathroom).............................
"The Byre" (Double Bed and two single beds, with ample space for a cot, with ensuite bathroom).............with 1 or 2 single bed/s and a cot
"Barley Barn" (Double Bed and two single beds, with ample space for a cot, with ensuite bathroom).............with 1 or 2 single bed/s and a cot
"Swallow Barn" (Double Bed and one single bed, with ample space for a cot, with ensuite bathroom).............with a cot Special requests......................................................................................................
.............................................................................................................................
I have read and accepted the conditions of booking
Deposit I enclose a deposit for the sum of £.................. @ £25 per person, made payable to Huxtable Farm
or please take £..................... from my credit card number..............................................................Expiry date.....................
Security Number (last 3 digits on reverse of card)........... Issue number(for Switch card payments only)............ Signature...........................................................................................Date...........................................
Have you stayed with us before? Yes / NO
If no, where did you originally see us advertised - i.e. Which guide name or via which internet site? (This information is invaluable to us when planning advertising, thank you for your help)..................................................................................
