Please print off copy, complete and POST signed booking form to: Mrs Carole Edney, West Marden Farm, West Marden, Chichester, West Sussex PO18 9ES Name & Address of Hirer (Block capitals please) ………………………………………………………………………………………………………. …………………………………………………………………………………………………….. ……………………………………………………………………………………………………… …………………………………………………………………………………………………….. Telephone Number (Home)…………………………………………Mobile…………………………………. Email address:-…………………………................................ Nationality........................................ Car Registration................................ Names of other occupants and age (if under 18) 2.........................................3.........................................4................................ Please reserve Barley Cottage from ………………………………………………………….to………………………………………………………………. at £...............per week, for which I enclose £..............deposit (non-refundable in event of cancellation) PLEASE MAKE CHEQUES PAYABLE TO: M. J. & C. M. EDNEY I declare that I have read, and accept, the Conditions of Hire and that I am over 21 years of age Signed.................................................Date.................................