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Reservation and Information Request
To reserve Rocksite, or to request a leaflet or further information, please fill in the relevant sections on the form below. Alternatively, you may write or telephone.

Full name:

Address: (including post/zip code).

Day Telephone no:

Evening Telephone no:

Fax. no:

Email Address:
Arrival date (eg. 14 June 2002):

Departure date (eg. 28 June 2002):


Total number of nights:  

Number in party:  
Children requiring cot and high chair:  

I plan to bring my dog(s) Yes No

Preferred payment method:

Please enter any additional information:
PLEASE COMPLETE AND E-MAIL THIS SECTION BEFORE POSTING PAYMENT

I am posting my cheque for deposit, and understand that my reservation will be confirmed once my cheque has been cleared.

I will post my cheque for being the balance of the rental, to arrive not later than 1 month before my date of entry to Rocksite.

If reserving within one month of entry:
I am posting my cheque for , being the full rental for my hire of Rocksite, and understand that my reservation will be confirmed once my cheque has been cleared.

(Please make cheques payable to "Mrs Jacqueline Clark")
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Rocksite is owned and managed by:
Jacqueline & Charlton Clark
13 Pitbauchlie Bank
Dunfermline, Fife KY11 8DP, Scotland, UK
Tel: (44) (0)1383 729618
E-mail: rocksite