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Please complete and submit the following Bed and Breakfast booking form - ** one per room booked.

Fields highlighted in red are required to be completed before submitting this form.

Name in the form John Roberts
Postcode
Country
Home telephone number
Mobile telephone number (often useful)
Email Address
Type of accommodation required
Date of the first night of your intended stay?	Day (in form dd/mm/yy)
Date of the last night of your intended stay?	Day (in form dd/mm/yy)
Comments that may assist us plan your stay
Please enter the answer to 7 + 3 =