Book Online

Title	(If 'Other' please prefix First Name with desired title)
First Name
Last Name
Arrival Date	/ /
Number of Nights
Number of Adults	If you require single occupancy please select '1'.
Number of Children
Telephone Number	Please provide either a home or mobile contact number so we can contact you with any issues that may arise. Please provide your area code.
Mobile Number
Room Preference	N.B. Should you require multiple rooms please specify your exact requirements in the 'Special Requirements' field at the end of this form. Subject to change based on availability.
Email Address	Please supply an email address so I can email you the booking confirmation details.
House Number / Name
Street
Town
County
Postcode
Country
Ages of the children
Special Requirements

telephone tel/fax: 01202 883423 mobile mobile: 07974 131027 email Email: ashtonlodge@ukgateway.net
Address Ashton Lodge, 10 Oakley Hill, Wimborne, Dorset, BH21 1QH