Smokey Mountain - Xmas 2005 Reservation form.

Please follow the instructions reserve your bookings: -

Adult Tickets 1 2 3 4 5 6 7 8 9 10

@ £10.00 each = £ £10.00 £20.00 £30.00 £40.00 £50.00 £60.00 £70.00 £80.00 £90.00 £100.00

Children's Tickets 1 2 3 4 5 6 7 8 9 10

@ £5.00 each = £ £5.00 £10.00 £15.00 £20.00 £25.00 £30.00 £35.00 £40.00 £45.00 £50.00

Subtotal = £

Deposit = £

**** Balance = £

Name: -

Address: -

County: -

Post Code: -

Phone No: -

E.Mail : -

Please make cheques payable to Smokey Mountain cmc and send it with a S.A.E to : - Ray Packham, 22 Steepwood Croft, Kings Norton, Birmingham, B30 1AR.