Booking Form for Camping

Name........................................................ Date................................................................................
Address.............................................................................................................................................
.........................................................................................................................................................
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Post Code..............................................................................
Telephone No....................................E-Mail........................................................

Please reserve a pitch for
 O  Tent                           O  Trailer Tent                    O  Motor Home                  O  Pup Tent
 O  Caravan                     O  Awning/Fore tent          O  Electric Hook up           O  Dog

Size of motor home/tent/caravan/trailer tent (please delete as appropriate)..................................... ft.

ARRIVAL DATE......................                       APPROX TIME am O     pm O
Departure date (am)........................................................................................................................
My party consists of (if child state name and age)
.......................................................................................................................................................
.......................................................................................................................................................
........................................................................................................................................................
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FOR OUR INFORMATION
Are you a CCBN/INF Member?  O
If so quote number...............................................
Are you a member of a Naturist club?  O
If so which Club..................................................

Please make cheques payable to Southleigh Manor
I enclose £50.00 deposit per week
Cheque amount enclosed ...........
Signed

.......................................................................................

Southleigh Manor, St. Columb Major, Cornwall  TR9 6HY 
Tel: 01637 880938
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