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Redcliffe Leroc Dance Weekend Booking Form

19th - 21st October 2012, 5th - 6th April 2013 or 18th - 20th October 2013

Delete 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
N.B.Cheques should be made payable to "Cardiff Dance Club"
What happens next?
After we receive your information and payment, we will send confirmation of your booking and provide any additional information required.
Lead Name *  
Contact Address *  
Postcode *  
Telephone  
E-Mail  
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.

 
 
 
 
 
 
 
 
 
Number of rooms and type
e,g. Double, Twin, Single
 
Any other information  

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