New House Farm Bed & Breakfast Booking Form

Please call us on 01538 304350 to check availability before returning this form to:

New House Farm, Bottomhouse, Near Leek, Staffordshire ST13 7PA

Your Details Name:

Address:

Postcode:

Telephone:

Booking Details Arrival Date:

Departure Date:

Number of Adults:

Number of Children:

Which Room(s):

Deposit Enclosed (£100 per week):

Terms and Conditions

Telephone bookings will remain firm, provided that we receive your confirmation booking form and the deposit within five working days. The booking is not confirmed until the deposit is received, therefore all bookings should be mailed to us by First Class Post.

I have read and agree with the terms and conditions

Signature:

Please make cheques payable to P L Melland