CHIRK SCOUT AND GUIDE HEADQUARTERS

BOOKING FORM FOR BUNKHOUSE ACCOMMODATION

NAME OF ORGANISATION (please print)

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SCOUT/GUIDE DISTRICT AND COUNTY………………………………………...

NAME OF LEADER……………………………………

POSITION HELD……………………………………….

CONTACT NUMBERS

TELEPHONE (daytime)………………………………….

TELEPHONE (evenings)………………………………….

ADDRESS……………………………………………………………………………

…………………………………………………………email…………………….

ACCOMMODATION

We can accommodate 22 in bunks. Please bring additional blow up mattresses if extra beds are needed.

TOTAL NO. OF PERSONS (including Leaders)………………………………

DATES (arrival and departure)…………………………………………………….

ARRIVAL TIME   : …………………       DEPARTURE TIME  : ………..…….

I/WE HAVE ACCEPTED THE BOOKING CONDITIONS ATTACHED AND ENCLOSE DEPOSIT OF £60.00 (non returnable).

PLEASE MAKE CHEQUES PAYABLE TO CHIRK SCOUT AND GUIDE GROUP.  A MEMBER OF THE GROUP WILL COLLECT FINAL PAYMENT DURING YOUR STAY.

SIGNED……………………………………………………..

Leader making booking

DATE…………………………………………………………