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Welcome to Ellesmere House
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Booking Form
Address 2
County
Post Code
Phone:
Email:
Country:
Address:1
Name: Mr/Miss/Ms/Mrs
Name 2 Mr/Miss/Ms/Mrs
Name:4  Mr/Miss/Ms/Mrs
Name:3 Mr/Miss/Ms/Mrs
Age if under 16
Age if under 16
Age if under 16
I CONFIRM I HAVE READ AND ACCEPT THE TERMS AND CONDITION OF BOOKING.
Dates required
From
To:
Total Cost
Deposit 25%
Security/Damage Deposit: .E100(euros). payable on arrival.
(A deposit of E100 is required on arrival and returned on departure if there are no damages to the accommodation)
Please make cheques payable to Terence George and send to c/o 1 Windsor Road, The Green, Pembroke, Pembrokeshire
SA71 4PY
Details of Principle holiday maker:
Names of other holiday makers:
Terry & Tina especially welcome people with learning disabilities and would love to talk to you about your spe-cific holiday require-ments, so please call or email to discuss details.
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Files
Booking Form (Printable)