BOOKING FORM FOR THE BARNS OF UPTON FARM

1. LEADING MEMBER OF THE PARTY

3. BARN REQUIRED

Arrival Date

Departure Date

Surname

First Name

HYDE BARN / UPTON MILL

Address

4. ADDITIONAL REQUIREMENTS

Total Rent

Cot (up to 2 years)

Deposit

High Chair

Dog

Telephone

Mobile

4. REMITTANCE

I enclose a cheque for the Deposit/Full payment     £

2. OTHER MEMBERS OF THE PARTY

Children's

Surname

First Name

Ages

5. DECLARATION

I declare that I am over 18 years of age and I fully accept and will abide by the

BOOKING CONDITIONS OF THE BARNS AT UPTON FARM

(Which is available on our website: www.upton-farm.co.uk/ )

Signature

Date

Please print this form.