Booking Form

Please print off and complete, enclosing a cheque payable to Charles Bolton for the appropriate amount

Name:

Address & Postcode:

Telephone:

Any special dietary requirements?

I am interested in the:

Spring Dance Holiday in Fylde   [ ] January 24th - 28th 2005

(please tick as applicable).

I would like to book ______________ places.

I enclose a deposit of _______ 

£50 per person for the Fylde week

payable to Charles Bolton

Signed _________________________________

Please enclose a small s.a.e for receipt of deposit

Please send all completed forms to:

Charles Bolton, 5 Springfield Court, Market Harborough, Leicestershire LE16 8BJ  Tel. 01858 432139 

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