Docklow Manor Booking Form
Please telephone to make a booking:
Name: ________________________________________________________
Address: ______________________________________________________
______________________________________________________________
______________________________________________________________
             
Telephone No: __________________________________________________
             
Name of cottage required: ________________________________________
             
From: ____________________                                      To: ___________________
             

No. of Adults: _____________                                         Children: _________________

                                                                                         Ages: ___________________
             
             
 
             
Home-cooked meals supplied to the cottage (£12.00 per head) .... 
Y/N___________
Any special dietary requirements? _______________________________
           
Please specify dates __________________________________________
           
             
Other Special Requirements: ___________________________________________
             
Deposit enclosed: _______________________________________________
             
I agree to abide by the Conditions of Hire and the            
Tariff as detailed in the brochure            
             
Signature: ___________________________
             
Date:______________________
             
It would help us to know how you came to hear of us.            
             
Recommended by: ______________________________________________
             
Advertisement in: _______________________________________________
             
Previous visitor: _________________________________________________
             
Please forward with your deposit in pounds sterling and make cheque payable to:            
JANE VINER.