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Booking Form for Pounds Farm

Please complete and return this form by post to:

Diana Elliott
Pounds
Hemyock
Cullompton
Devon EX15 3QS

Or email : diana@poundsfarm.co.uk

Agreed booking dates from __________________to __________________

Approximate arrival time __________________

At a cost of £_____ per person per night, in the king ensuite / double room


Details of the person placing this booking

Title: (Mr/Mrs/Miss/Ms/Other*) *please specify ___________

First name ____________________ Last name _________________________

Address_________________________________________________________
____________________________________________ Postcode ____________

Telephone _______________________Mobile __________________________

email __________________________Number of adults _____ Children _____

£30 Deposit enclosed (cheques made payable to Diana Elliott)

Signature________________________________________________________

Please indicate your choices from the breakfast menu

_________________________________________________________________
_________________________________________________________________

Please let me know where you heard about Pounds Farm.

Thank you for your booking.