The Light-hearted Dance Weekends

Hotel Piccadilly, Bournemouth, Dorset. - 31st Jan to 2nd Feb 2014.

THE BOOKING FORM
Please reserve ______ places at the Light-hearted Dance Weekend on 31st Jan - 2nd Feb 2014 at Hotel Piccadilly, Bournemouth, Dorset.
I enclose a cheque, payable to 'H M Turner' for £­­­­­­­­____­­­­­___ being the deposit at £95.00 per person for the following:
[or please add our Name & Address to your mailing list (tick here __)].

NAME(S) ACCOMMODATIONSINGLES ONLY?
(Single, Double,or Twin             Willing to share Twin?
   in order of preference)

______________________________________ . . . ____________________ . . . . . . . . . . Yes . . . No

______________________________________ . . . ____________________ . . . . . . . . . . Yes . . . No

______________________________________ . . . ____________________ . . . . . . . . . . Yes . . . No

______________________________________ . . . ____________________ . . . . . . . . . . Yes . . . No

Name, and Address of sender:

__________________________________________

__________________________________________

__________________________________________

Tel No. of Sender__________________________

Are you willing to accept an email confirmation of your booking? Yes / No

Email address (please PRINT): __________________________________

Special Dietary Reqmts?:

Where / How did you hear about the event?

When booking,
please return this completed booking slip together with a cheque for your deposit.
Cheques payable to 'H M Turner' please,
to
‘HOTEL PICCADILLY DANCE WEEKEND',
c/o 35 PIRRIE CLOSE, SHIRLEY, SOUTHAMPTON. SO15 7QA.