Booking Form

Please print this form (when you print it is set up in printer friendly format to save ink) and complete in block capitals then send with your deposit to:
Mr JP & Mrs SC Jackson, Station House, Troutbeck, Penrith, Cumbria CA11 0SJ

Name: ……………………………………………………………………………………....................

Address: .………………………………………………………………………………..............................

…………………………………………………………………………………............................................

Telephone Number: ………………………………. E-mail: ………………………………………..........

Please reserve Station House for the week(s) commencing Saturday ………………………………

Or for the following short break: ...…………………………………………………………………...

Accommodation is required for:

No. of Adults: Children under 16: Will a cot be required? ………

Number of dogs (max 2): Breed:

Enclosed is a deposit/full payment of £

(Please enclose the payment in full if there is less than eight weeks before your stay,
otherwise a deposit of £150 is required.)

Please make cheques payable to Mr JP & Mrs SC Jackson.

Signed: ………………………………………… Date: ……………………………………………