Park Inn

Birmingham Road West Bromwich, B70 6RS

Tel: 0121 609 9988 Fax: 0121 525 7403

60s16ers Booking Form

Please send your booking forms direct to the hotel for the attention of Nicky.  Deposits should be paid by 28^th February 2010

Weekend of Friday 15^th Oct 2010 to after breakfast Monday 18^th Oct 2010

Name /s

Address

Tel:

Please reserve the following accommodation for me / us as indicated

3 days in shared room @ £45 per person i.e. £270 per couple     £

3 days single use of room @ £65 per person i.e. £195               £

2 days in shared room @ £45 per person i.e. £180 per couple     £

(Friday & Saturday or Saturday and Sunday)                             £

2 Days single use of room @ £65 per person £130                    £

Please specify room required 

Double               Twin          Single

I enclose my non refundable deposit of £25 per person     £

Balance to be paid in full before    1^st September 2010

Please notify us in advance of any special needs / requirements

Dietary e.g. vegetarian ......................................................

Mobility e.g. wheelchair access room ...................................

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