The Jug and Glass - Provisional Booking Form
Please use this form to make a provisional booking for your stay at
The Jug and Glass, Nether Langwith, Nottinghamshire.

We will contact you to confirm your booking and to give you details of how to make your payment.
A 10% deposit will be required to secure your booking, the balance is payable on arrival.

CONTACT DETAILS  
Your Name

Your Address
Your e-mail address
Your daytime telephone number
Your evening telephone number

BOOKING REQUIREMENTS

Dates required

First night of stay
Date Month Year

Last night of stay
Date Month Year
Number of people in your party Adults Children
Please reserve me a double room
Please reserve me a twin room
Please reserve me a family room Max 2 Adults + 2 Children


Please tell us if you have any special requirements, or ask us if you require further information.

Privacy Statement: The details you give will be used for booking purposes only. Information will not be
passed on to any other party or used for any other purpose.
Click Submit to send by e.mail

If you prefer, you may print this form and fax it to: 01623 742283
Or post it to: Bookings, The Jug and Glass, Queens Walk, Nether Langwith, Mansfield, Notts, NG20 9EW