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To confirm a booking please print this form, fill it out and send it with deposit to:
The Grail Centre, 125 Waxwell Lane, Pinner, Middlesex HA5 3ER UK
Please make cheques payable to The Grail and enclose an SAE for written confirmation.
| Name |
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| Address |
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| Postcode |
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| Phone |
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| Email |
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| Date requested |
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| Poustina requested |
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| Arrival Time |
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| Departure Time |
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| Lunch required? |
Yes / No |
| Dietary requirements |
Cross out what you do not eat:
Red meat, white meat, fish, dairy, wheat products
Others (please specify)
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| Deposit enclosed |
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| Signed |
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Private retreat
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