Meadow Lodge

• 1

Group / family / organisation

Group leader *

Address *

Invoice name and address (if different)

Daytime telephone no. *

Fax no.

Mobile telephone no. *

Email address *

Date(s) requested *

Arrival time *

Departure date *

Departure time *

No. of people *

Age range of group *

No. of staff (if applicable)

Catered

YesNo

Self catered

YesNo

Lea Green activities

YesNo

Brief description of the additional needs within the group

Brief description of activity programme required (if applicable)

Any other information

Please enter your DCC Cost Centre for internal charging (if applicable) *

Date *

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