Name................................................................................   Telephone....................................................

Address...................................................................................................................................................

Postcode...................................................   Email...................................................................................

Date of Arrival...................................   Date of Departure...................................  Total No of Days........

Please reserve (tick as appropriate):

Standard Pitch               Standard Pitch Plus               Serviced Pitch              Grass/Hardstand

For          Caravan   Length ......                Double Axle? Yes/No                Motorvan   Length ......                Tent   Size......                           Trailer Tent                             Awning                  Extra Car(s)                              Extra Tent(s)                           Dog(s)   Number......                Number of Persons ......               Are you Senior Citizens? Yes/No Do you have any special requirements.....................................................................................................

Which area of the park would you prefer?

1st Choice.............................................................. 2nd Choice............................................................. (Whilst we will endeavour to oblige your request we cannot guarantee it)

I enclose my cheque/P.O. made payable to "The Old Oaks Touring Park"       Amount £...........

Or Debit my Access / Visa / Switch Card     (Delete as appropriate)

Card No.

Extra Card Security    (Turn over your card and write down the last three digits from your signature strip)

Start Date..........................        Expiry Date..........................         Switch Issue No.

Cardholder's Signature.................................................................................................

I have read and agreed the booking conditions Signed........................................................................... Date..........................