Booking Form

 

* Please complete all fields


Name


Address


Post code


Telephone Number
(Landline & Mobile)


Email


Holiday start date (after 4:00pm)


Holiday finish date (to 10:00am)


Accommodation (tick as applicable)
The Loose House The Six House


Number of adults in party


Number of children in party
3-15 yrs Under 3

Full names of all guests (Block capitals please)


Bed Linen (tick as applicable)


Main Bedroom
Double Single

Landing Bedroom
Single Single

We expect to arrive at approx
pm

I heard about Bullock Farm from


I am paying a deposit of £100.00
     OR / the full sum of £

IMPORTANT: By completing and sending this booking form I confirm that I am over 18 and have read and agree to this booking in accordance with the terms and conditions on the www.bullockfarm.co.uk website.

 

Please tick to agree.

 

Today's date is:

 

We are attempting to move to a paperless office!  To assist us with this we would like to return your security deposit via BACS payment rather than by cheque.  If you are happy with this then please provide us with your bank details below.


Sort Code

Account Number



Please type the characters
 


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  • 2017...  Call us on 01934 835020

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Bullock Farm, Back Lane, Kingston Seymour, North Somerset, BS21 6XA
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