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Redcliffe Leroc Dance Weekend Booking Form19th - 21st October 2012, 5th - 6th April 2013 or 18th - 20th October 2013Delete date as appropriate |
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| Return to Planet Leroc |
* Denotes the minimum information required but please complete as much as possible. |
| Please print and complete this form and send it, together with either deposits of £40 per person or full payment of £135 per person, to :- | |
| Cardiff Dance Club 5 Dolgellau Avenue Tonteg Pontypridd CF38 1HT |
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| N.B.Cheques should be made payable to "Cardiff Dance
Club" |
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What happens next? After we receive your information and payment, we will send confirmation of your booking and provide any additional information required. |
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| Lead Name * | |
| Contact Address * | |
| Postcode * | |
| Telephone | |
| Additional Names
For multiple bookings please use the name and address of the person we
should contact for the lead name and details. All other names should be
added after the lead name and details. |
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| Number of rooms and type e,g. Double, Twin, Single |
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| Any other information | |
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Payment details Please see the terms & conditions for more information |
Deposits will be refundable upto 3 months prior to the event (02/12/2011 for the March event 20/07/2012 for the October event) The balance to be paid by 31/01/2012 for the March event 31/08/2012 for the October event |