Bedroom Booking Form

*Cancellation policy: no later than 24 hours notice otherwise you will still be charged.

If you would like to speak to a member of staff directly please call: 01372 352000

	Title: Mr Mrs Miss Ms Dr First Name: Surname: Name of organization: (leave blank if necessary) Arrival Date: Number of Nights: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 other If other, please state number of nights: Departure Date: Type of Room: Double Twin Disabled Number of guests per room: 1 2 3 4 Sofa bed required: No Yes Please fill in the names of your guests below Guest 1. (Full name) Room Type: Double Twin Disabled Sofa bed needed? Yes Guest 2. (Full name) Room Type: Double Twin Disabled Sofa bed needed? Yes Guest 3. (Full name) Room Type: Double Twin Disabled Sofa bed needed? Yes Guest 4. (Full name) Room Type: Double Twin Disabled Sofa bed needed? Yes How many children will be staying: 1 2 3 4 5 6 7 8 If you have children staying can you please state their ages: Rate Type: JCC JBBB Associate Member Commercial rate Address: Postcode: Invoice address if different from above: Postcode: Home Telephone: Mobile Telephone: E-mail address: Payment Type of Card: Switch Maestro Visa Master card Name on Card: Numbers on Card: (Long Line of numbers in the center) Start Date: month/year e.g. 05/09 Expiry Date: month/year e.g. 05/10 Issue Number: (switch only) 01 02 03 04 05 Security Code: (three digit number on reverse of card) Would you like us to send you confirmation and directions by e-mail or by post? Yes Would you like us to book you a table for dinner? Yes For how many people? 1 2 3 4 5 6 7 8 8+