Name: Address: Post/Zip Code: Country: Tel No: Email Address:   Holiday Dates   Arrive on: no earlier than 3.00pm. Depart on: before 10.00am Tariff @ £ Discount if applicable @ - £ Deposit @ £ 100 Balance Due @ £   Please make cheques payable to N Worthington   If paying by credit card:   Type of card: Cardholders name: Card number: Expiry date: Issue No: 3 Digit security No: House No: Post/Zip Code:     Names of Party   1. 2. 3. 4. 5. 6.     Request a cot Request a high chair     I declare that I am over 18 years of age and agree that the booking is made in accordance with the booking condition: Please tick To read the Booking Conditions please click here Date     Send payment to: N Worthington (The Nora Batty Experience) Clifford House Farm Cliff Hollins Lane Oakenshaw Bradford West Yorkshire BD12 7ET UK