CHILDREN'S BIRTHDAY PARTY BOOKING FORM

Name
Child's Name	Child's Age
Address

		Post Code
Email		Telephone

I would like to book a Children's Party on (date). The train departs at 12.30 p.m. from Butterley Station. Please pay a deposit of Ł20.00 which we regret is non-returnable in the event of cancellation.

There will be children @ Ł6.95 and adults @ Ł6.95 (train fare only).
Will Ice Cream be Required (Ł1.50 extra per child)? Yes No.

Please charge Ł20.00 to my Credit/Debit card. Visa Delta MasterCard Switch

Card Number Issue No (Switch)

Card Start Date / Expiry Date / Security Code (back of card)

Card holder's name (as shown on the card) Date

N.B. This site is not yet SSL rated. It is therefore recommended that you either print this form or download the pdf version of the form and then send your booking by fax or post.