Booking Form – Southern Marches Area Meeting Residential Weekend, 9th – 11th February 2018, Cleobury Mortimer Pioneer Centre

Name: Meeting:

Address:

Telephone/s: e-mail:

Room Requirements: please tick box, enter numbers in ( ), and complete £ column. All accommodation is en suite. £

Single accommodation (limited availability) □ 1 adult @ £140 ea. ______

Single person willing to share □ 1 adult @ £99 ea. ______

- state with whom sharing if known:

Couple accommodation □ 2 adults @ £99 ea. ______

NOTE: Children and young people up to the age of 17 will be paid for by Area Meeting.

Family accommodation sharing a room: maximum 5 beds (3 single & 1 bunk): (No.)

□ adults ( ) @ £99 ea. ______

□ 13-17yr old/s ( ) free ______

□ 4-12 yr old/s ( ) free ______

□ under 4 yr old/s ( ) free ______

Total £ ______

Dietary requirements (please circle): diabetic/gluten intolerance/allergies/vegetarian/vegan ...... (other)

Please remember what you have booked and stay with this over the weekend.

Please send deposit of £20 per adult by 13th October 2017; balance due by 31st December 2017.

Cheques payable to ‘Southern Marches Area Meeting’, send with this form to Kate Evans, Brynheulog, Standard Street, Crickhowell. NP8 1BP

Any Questions? Please contact Linda Murray-Hale on 01588 630409 or

Disabilities (please circle): wheelchair access / ground floor preferred / ...... (other)

Lifts:

I can offer 1 / 2 / 3 / 4 seats in my car (please circle)

I would like a lift YES / NO

I would like to be picked up from Ludlow train station YES / NO

Arrival: the weekend begins with a hot meal at 6 pm on Friday evening. Arrivals can be from 4.00 p.m.

If arriving late and requiring a light supper please tick □

Departure: The weekend ends with lunch on Sunday.

All bed linen is provided, but bring your own towels, soap, and any favourite pillow, snug etc.

We shall be providing our own entertainment on Saturday evening: please bring along anything you would be willing to contribute – recitations, sketches, musical instruments, a Local Meeting group offering, children’s contributions...... Do also bring a root, actual or metaphorical …

In case of need, bursaries will almost certainly be available: in the first instance contact your Meeting’s Overseers or Pastoral Carers. If your Local Meeting is unable to assist, there are Area funds.

Further information will be supplied on receipt of deposits.