Maglona Booking Form

Name:  

 

Address:

 

 

 

 

Telephone:  
E-mail:  

 

Fax:

 

Arrival Date:  

 

Departure Date:  

 

Number of Adults  

 

Number of Children:  

 

Any special requirements  

 

I enclose a deposit of:  

 

Signature:  

 

Date:  

 

Post to:

Mrs Nest Evans, Gelli Aur, 12 Albert Street, Aberaeron, Ceredigion, SA46 0DQ