| Lochhouse
Farm Retreat Centre B&B BOOKING FORM Thank you for your enquiry. If you would like to book please complete the form and return with a cheque for your deposit to Martin Brown at the address above. If you wish to arrive before 4.30pm on the day then this must be by prior arrangement. Please depart by 10.00am on your last day If you are walking the Southern Upland Way you may wish to arrange with us particular requirements re your visit. [i.e. arrival time, arrangements re luggage, laundry and which direction your arriving from.] Look forward to hearing from you Yours sincerely, Martin Brown PAYMENT
by Credit or Debit Card - Please detail below. Surname: ……………………………………….. (Contact person for my family/group) Forenames: ………………………………………. (Mr/Mrs/Ms) Address: ………………………………………………………………………. …………………………………………………………….. Postcode: ………………… Telephone: ……………………………………. Car Reg. No: ………………………… Number People – Adults: ………….. Child under 3: ……. Child under 14: ………… Accommodation required: – DOUBLE / FAMILY Room en-suite – - TWIN Room – Private Facilities - Date of arrival:………… Departure:………… No. of nights:....... Approx time of arrival:....... Evening Meals Required (£9.00 per head; children under 10 - £6): Yes / No Pack lunches can also be arranged as required @ £4.50 per head: Yes / No Any Dietary requirements: ……………………………………………………………… Total due = ………………………… I enclose deposit of (25%) = …………………… Signed: …………………………………………………. Date: ………………………… Where/how did you find us? ………………………………………………………………….. PAYMENT DETAIL Type of Accommodation - B&B B&B balance should be paid on arrival I enclose a cheque for Full Payment/Deposit (please delete as required) £ ................. Name (as shown on Card): ............................................................ Type of Card: VISA / MasterCard / Delta / Maestro / Solo / other .............. 16 digit Card Number ..............................................3 digit Security Code: ........... Start Date (debit cards only) MM/YY ................. Issue Number: ................ Expiry Date MM/YY: ....................... Signature: .........................................................
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