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Please reserve 'Mudlark' for the
following date ...............................
Name ..................................................
Address
..........................................................................................................................................
...........................................................................................................
Post code ..........................
Daytime Phone number
...........................................
Number of people in party .............. of which
........... are adults
and ........... are under 12.
Amount enclosed £................... (cheques payable to
Stoke Bruerne Boat Company Ltd)
I declare that I am over 21 years of
age, will be responsible for the good conduct of the
party, and will return the boat in a tidy and clean
condition by the finish time agreed.
Signature
............................................ Date
..............................
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