The Fouth Rare Soul Connoisseurs Weekender - Booking Form.

The cost of the Weekender (Friday & Saturday nights) is £70.00 per
person including breakfast both days.

Names & Address of people in your party. Please put the party Leader's
name first, and include a contact number.

1.________________________________________ Tel___________

2.________________________________________

3.________________________________________

4.________________________________________

5.________________________________________

6.________________________________________

Type of accommodation required

Single________ Double__________ Twin________

A Non-refundable Deposit of £15.00 per person is required to ensure
your booking is confirmed.

Cheques should be made payable to Mr S. ZELENYJ and posted to

Mr John Mills, 178 Tong Moor road, Bolton, BL2 2HN

Written confirmation of your booking will be sent out by return post.
The balance outstanding will be due on September 30th, 2004.

Info line:    John Mills - 01204 413973
                  Stevie Z - 0121 797 1507