Booking Form - Primrose Field 48
Full Name
Address
Email Address
Home telephone
Mobile telephone
Car Registration
Holiday Date From
Holiday Date To
Number of Guests in Party
1
2
3
4
5
6
Guest 1 Title & Full Name
Age is under 21
1
2
3
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20
Guest 2 Title & Full Name
Age if under 21
1
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5
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20
Guest 3 Title & Full Name
Age if under 21
1
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20
Guest 4 Title & Full Name
Age if under 21
1
2
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4
5
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20
Guest 5 Title & Full Name
Age if under 21
1
2
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4
5
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19
20
Guest 6 Title & Full Name
Age of under 21
1
2
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4
5
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7
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9
10
11
12
13
14
15
16
17
18
19
20
Hire Cost of Caravan
Do you require Entertainment
Passes (these are at an extra
cost to the hire charge of the caravan)
Yes
No
I have read and fully understand
the terms & conditions
Yes
No
I understand that to complete my
booking a deposit of £80
must
be
received within 7 days. Cheques
should be made payable to
P. Jackson 24 Woodfield Park
Walton, Wakefield, West Yorkshire
WF2 6PL
Yes
No
Indicates Response Required
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