The Pheasant Enquiries Form

Title:
Mr Mrs Miss Other

*Name:

*Email:

*Telephone:

Address:

I am interested in:
Dinner and Bed and Breakfast Bed and Breakfast Breaks

First night of stay:
Day 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st Month January February March April May June July August September October November December Year 2006 2007 2008

Number of nights:
<N/A> 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

Number of adults:
<N/A> 1 2 3 4 5 6 7 8 9 10

Number of children over 8 years:
<N/A> 1 2 3 4 5 6 7 8 9 10

Rooms required:
Singles
Doubles
Twins
Suite Type
Garden Lodge Double
Garden Lodge Twin

Other enquiries:

* indicates required field