AUtumn Form - October '13, Booking Form

THE BOOKING FORM
Please reserve ______ places at the Light-hearted Dance Weekend on 4th to 6th Oct 2013 at The Langstone Cliff Hotel, Dawlish Warren, Devon. I enclose a cheque, payable to 'H M Turner' for £________ being the deposit at £95.00 per person for the following: [or please add our Name & Address to your mailing list (tick here __)].

NAME(S) ACCOMMODATIONSINGLES ONLY?
(Single, Twin or Double Wishing to share Twin?
in order of preference)

______________________________________ . . . ____________________ . . . . . . . . . . . . . . . . . . . . . . . Yes . . . No

Name, and Address of sender:

__________________________________________

Tel No. of Sender__________________________

Email Address_____________________________

Special Dietary Reqmts?:

Where / How did you hear about the event?

When booking,
please return this completed booking slip together with a cheque for your deposit.
Cheques payable to 'H M Turner' please,
to
‘THE LANGSTONE CLIFF DANCE WEEKEND',
c/o 35 PIRRIE CLOSE, SHIRLEY, SOUTHAMPTON. SO15 7QA.

DATA PROTECTION.