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Hotel Booking Form - 2013/14

Please complete in CAPITAL LETTERS and send to:

Thornleigh Hotel, The Esplanade, Grange-over-Sands, Cumbria, LA11 7HH.

I / We wish to book accommodation at THORNLEIGH HOTEL

to arrive on ________________ and leave on ________________.

[ If booking for a Theme holiday, “Door to Door”, “Town & City Centre” or other Special holiday, please tick: _____+ ]

( + Title of Holiday: ________________________________ Discount entitlement: ____ % )

EN SUITE ROOM REQUIREMENTS (Please tick): [ Note: There are no single Bay View or Lodge bedrooms ]

Single bed:_____; Double bed:_____; Twin beds:_____; Family room:_____.

Prefer Bay View bedroom:_____; Prefer Lodge bedroom:_____.

Whilst there is a LIFT, please indicate if a Ground Floor bedroom is essential

( personal preference or unable to use stairs in emergency ): _____ (tick).

Mr/Mrs/
Miss/Ms/
Rev'd/etc.

Initial(s) Surname Senior Citizen (Please tick) or Age if up to 16
______ ______ ___________________________________________ _______________
______ ______ ___________________________________________ _______________

ADDRESS FOR CORRESPONDENCE:_________________________________________________

________________________________________________________________________________

POST CODE:_____________ PHONE No:_______________________E-MAIL: __________________________

PAYMENT DETAILS:

Non-refundable Deposit = £80 per person, per week or part thereof.

* I/We wish to pay £____ by Credit/Debit Card No. _______/_______/_______/_______

Start Date____/____; Exp. Date____/____; Issue No. ____ (Debit card)

Security No. (last 3 numbers on signature strip) _____

* and also, please take the balance 4 weeks before the date of the holiday.

* I/We enclose payment of £______ by cheque, payable to Highway Trust Ltd.

SIGNED:

_____________________________________________________________________________

(for and on behalf of those booking) I/We have read and accept the Notes and Conditions published on the website (www.thornleigh-hotel.co.uk)

DATE:______________________________

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