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Lancombes House - Self catering cottages in Dorset
Booking Form
Lancombes House
Self-Catering Holiday Cottages
West Milton, Bridport, Dorset, DT6 3TN
Phone: 01308 485375
Email: Info@Lancombes-House.co.uk
www.Lancombes-House.co.uk

We confirm that the information supplied on the Booking Form will only be used for communication with you regarding your stay with us. We guarantee that your data will be kept secure and not passed on or sold to any third party.

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  *Full Name:
  *Address:
  *Postcode:
  *Phone Daytime:
  *Phone Evening:
  *Email address:
  *No. of Adults:
  *No. of Children:
  *Pets?:
  How Many?:
  *Cottage:  Buckingham
 Tanglewood
 The Farmhouse
  *Dates:
  *Any special needs?:
  *Where did you find us?:
  Other / Internet site:
  *Tariff for Holiday ():
  *Deposit of 1/3 ():
  *Balance Payable ():
  *I have read the terms and conditions:
  *Would you like to be added to the email list?:

Please click on the Submit button to submit the form details.
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