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Please print this page, complete in capitals and send to the address below with your cheque for £100.00 deposit (payable to " Mrs M. Kehle-Cullen "). This must be done within 5 days of your telephone reservation.

Return with your deposit cheque to:  

Mrs Maria Kehle-Cullen, Haye Leigh, 174 Duffield Road, Derby, DE22 1BH   tel:01332 348242 

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COWBELL COTTAGE BOOKING FORM

Hirer's name:

Address:

 

Postcode:

Home telephone number:                                        Mobile no.:

Email address:

Number of adults in party:  

Date from at 4.00pm:                                   Day:

Date to at 10.30am:                                      Day:

I have read and agree to abide by the terms and conditions
I agree not to smoke in the premises.

Signed (Hirer) :                                                                 Date:

Name:

I heard about Cowbell Cottage from: