ࡱ> SURy  bjbj R{{Ddd8 &lBXXXX$d^u^XX&RXXX?;%B<0ltgttH%jltd :  SHAPE \* MERGEFORMAT  Hotel Services Application Form Name (Block Letters): .. Position: .. Department: .. Daytime Contact Number: .. Out of Hours Contact No/ Email:.. Date Room Required: No. Days / Nights .. Reason for Booking: .. Date of Request: .. Home Address: .. .. Signed: .. _________________________________________________________________________ OFFICE USE ONLY Date Booking Received: . Date Booking Confirmed: .. (by whom) Payment Due: .. Cancellation: .. (Date and Reason) Date Keys Returned: . Payment Made: .. Method of Payment: Cheque Credit Card Payment Received By: .. Receipt Number: ..     Appendix 1 ACCOMMODATION CHARGE - 20.00 per night. Please make cheques payable to GOSH.C.C. 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