*Name
*Address
*City
County
*Post Code
*Telephone
Fax
*E-mail
Date of Arrival	1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st January February March April May June July August September October November December 2011 2012 2013 2014 2015
Date of Departure	1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st January February March April May June July August September October November December 2011 2012 2013 2014 2015
Other Information you wish to Include
Where did you hear about Us	Web Search Engine A Friend Our Vehicles Advert Other
	PLEASE ENSURE YOU HAVE FILLED IN THE FIELDS MARKED WITH* BEFORE SUBMITTING THE FORM. THANK YOU
Dolffanog Fawr, Tal-y-llyn, Tywyn, Gwynedd. LL36 9AJ Telephone: 01654 761247 www.dolffanogfawr.co.uk contact us ©2007 Dolffanog Fawr Country Guest House and Bed & Breakfast Accommodation