| Retreat: |
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| Dates |
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| Surname (and title): |
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Forenames: |
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| Other members of party at time of visit: |
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| Address: |
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| City: |
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| County |
Postcode: |
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| e-mail: |
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| Daytime Telephone: |
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| Evening Telephone: |
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Bedrooms will be allocated by availability, but if we can, we will try to meet your preferences.
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| I would like:
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single rooms
twin rooms
family rooms
If a double bed is available, would you like it: Yes No
If a single room is not available, would you be prepared to share? Yes No
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| Special diets (i.e. medical or vegetarian):
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| Have you any disabilities, e.g. with moving, hearing etc?
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| Are you registered disabled?
| Yes No
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| There are a limited number of ground floor rooms.
If you can climb ONLY one flight of stairs, please indicate:
Yes No
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| Are you a Friend of Launde?
| Yes No
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| How did you hear about Launde? If form an advert, which one?
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| I enclose a deposit of:
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(cheques payable to Launde Abbey) |
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Please print this form and send it with the cheque for your
deposit to:
Launde Abbey,
East Norton,
Leicester,
LE7 9XB
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