CEI BACH COUNTRY CLUB LTD 
PARC-Y-BRWCS, 
CEI BACH, NEW QUAY,
CEREDIGION, WALES, SA45 9SL.
TELEPHONE / FAX
01545 580 237
Booking Form 2010

Ref. No..................................

Name........................................................................................................................................
Address 
     ..............................................................................................................................
                     ..............................................................................................................................
                     ..............................................................................................................................
                     ..............................................................................................................................

Post Code.................Telephone no....................................Mobile Tel...........................
Arrival Date............................Departure Date................................
Type of Pitch (tick) : Caravan  caravan       Tent   tent        Motor Home   motorhome   Electric hook up electric 
 Pitch choice:   1st..........................2nd ..................... 3rd ........................
Total number of nights ................. Total number in group ........................
Number of dogs ............ Breed of dogs ........................................................

A DEPOSIT OF £20.00 PER WEEK PER PITCH IS REQUIRED WHEN BOOKING YOUR HOLIDAY AND MUST BE RETURNED WITH THIS BOOKING FORM. 
FULL PAYMENT DUE 28 DAYS BEFORE ARRIVAL.

Cheques payable to:  CEI BACH COUNTRY CLUB LTD

CREDIT CARD DETAILS
CARD TYPE......................................................
CARD NUMBER................................................
EXPIRY DATE....................................................
ISSUE NUMBER................................................
SECURITY NUMBER........................................
 PAYMENT DETAILS
TOTAL COST £..................................
DEPOSIT... .........................................
BALANCE...........................................

PERSONS RESPONSIBLE FOR BOOKING.   PLEASE ENSURE ALL PARTS OF THIS
 BOOKING FORM ARE COMPLETE AND RETURNED TO THE ABOVE ADDRESS.
I HAVE READ, AND AGREE TO THE BOOKING CONDITIONS
AND AGREE TO THEM IN THEIR ENTIRETY. I AM OVER 18 YEARS OF AGE.

SIGNED........................................................... DATE ........................................

Details of Holiday Group.

Mr./Ms. Initials Surname Mr./Ms. Initials Surname
           
           
           
           
           

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