| Please fill out and print this form using block capitals and post to:
Mr & Mrs Selby
Glebe Farm
Church Lane
Benniworth
Market Rasen
Lincolnshire
LN8 6JP (UK)
Tel: 01507 313231 or Mobile: 07802309206
Name:_____________________________________
Address: _____________________________________________________
____________________________________________________________
Post code:______________________
Tel: _______________________Evening Tel: _______________________
Accommodation type:
| Self Catering in Fiddledrill Barn |
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| B&B 1 large double en-suite bathroom with shower |
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| B&B 1 Large double superior en-suite with bath and cubical shower |
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| B&B 1 large twin en-suite bathroom with shower |
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Arrival date: ______________________Departure Date: _____________________
Deposit (min 10%) Amount: £__________Balance to be paid 4 weeks before start of holiday.
We do not accept credit/debit cards. Please make cheques payable to: J.B. Selby & Son
Date:_________________Signature: ________________________________
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