Christmas Parties Reservation Form

Name...................................................................................................................................................... Name of Company.................................................................................................................................. Address................................................................................................................................................... ................................................................................................................................................................ Postcode.........................................................Telephone......................................................................... Please reserve table(s) for.............................................................................................................persons On the evening of..................................................................................................................................... We would like our meal at........................................................................................................................ (subject to availability) Our menu choice will be advised two weeks prior to our function A deposit of £................................................................ Made payable to 'The Town & Country Lodge' is enclosed which I undersrtand is Non-Refundable I have read the Terms and Conditions of Booking in the Christmas Brochure. Signed............................................................................ Date............................................................................... Please return this form to:

The Town & Country Lodge A38 Bridgewater Road, Bristol BS13 8AG Tel: (01275) 392441 - Fax: (01275) 393362