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Name and Address:

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.............................................................................................. Postcode ...............................................

Tel. No. ..................................................................................

Email address:........................................................................

Please telephone to confirm date availability before sending your deposit.


Date of arrival:........................................................................................


Cottage booked: (please tick)

Rose Cottage (6 persons)_____Stable Cottage (2 persons)_____
Apuldram Cottage (4 persons)_____Quay Cottage (2 persons)_____

Your Party: Names (age if under 18)

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Rate for Holiday £

£..............................

£15.00 for master twin bed option
Z BED charged at £15 per night or £50 per week

£..............................
£..............................
Total cost of holiday

£_________________
One third deposit enclosed

£..............................
Balance due (8 weeks before arrival) £..............................

Please make cheques payable to 'Quay Quarters'.

Signed ...................................................................................

Apuldram Manor Farm, Appledram Lane, Dell Quay, Chichester, West Sussex, PO20 7EF
Telephone: +44 (0) 1243 83 99 00 Email: cottages@quayquarters.co.uk