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Weekend Away Booking Form

Please send in a separate form for each room you will need.

Who is coming?

NameDate of birthDietary requirements or other special needs

Room Type
Single (Not all are ensuite)
Double
Family (For you and all your children)
Accessible


Contact details The primary contact for everyone named on this form

Name:
Telephone:
Email address:

How much The price includes accommodation and meals

Adults£150 x= £0
Children 6-16£75 x= £0
Under 6's free
Total payable= £0
Deposits due by Sunday 16th June 2019
Adult deposit£45 x0= £0
Child deposit£25 x0= £0
Total deposit= £0
Balance remaining after deposit= £0
The balance is due by 22nd April 2020 and can be paid by instalments.

Payment method

via Internet Banking
Ref: Surname 2020
St John Newland PCC
Sort code: 40-25-19
Account: 51443275
Cheque, payable to St John Newland PCC to the coordinators
Cash to the coordinators

Travel arrangements
Please tell us how you would like to travel there and back, and whether you can help others.
I/We will travel in our own car. I can also offer extra space for people.
I/We would like to have a lift in someone else’s car
I would prefer to travel by coach for £20 per person (easy access and suitable for wheelchairs)


Anything else you need to tell us

We will email a copy of this form to you on the address you have given above. Please contact the coordinators if you need to make any changes to your booking.