Dragonfly Booking Form

This is a printer-friendly document. Simply click the printer icon on your browser toolbar to print a copy of this booking form.Then complete the form and send it with your deposit to Dragonfly at the FREEPOST address shown at the bottom of the form. Thank you.

Contact information
Full name
Date of birth
Address
Postcode
Telephone number(s)
Holiday information
Date of holiday
Holiday destination

Bedroom requirements (please tick the type of room you would like)
Twin bedded room
Double bedded room				sharing with
Triple bedded room
Single bedded room

Special requirements (please see Accessibility)
Diet (do you have a special diet?)
Low fat
Diabetic
Vegetarian
Other			Please specify
Health (please advise us of any important medical conditions you might have)

Emergency contact names and phone numbers
First Name
Relationship to you
Phone numbers
Second Name (optional)
Relationship to you
Phone numbers

Booking Confirmation
Amount of deposit enclosed
Date
Signed					Print Name
Please make cheques payable to Dragonfly, and post to Dragonfly, FREEPOST (SWB30173), Long Meadow, Sticklepath, Okehampton, Devon EX20 1YZ.