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	Region: No region selected ScotlandNorth EastNorth West and North Midlands (East of M6)North West (West of M6) & CumbriaEast Anglia, Essex & North KentSouth West and South and Mid WalesBirmingham and South, East and West MidlandsSouth Coast(M20 - M3), South East (outside of M25) from M3 - A10/M11Central & West LondonNorth, South & East London Title: Mr Mrs Miss Ms First Name: Surname: Company: Email address: Contact telephone: Comments: Description of site location: e.g. fronting the A34, adjacent to Red Lion Pub, half a mile from town centre Why would this be a good Travelodge location: Major tourist location Town or city centre Major road/route Business centre Near airport Proposed site address line 1: Proposed site address line 2: Proposed site address town: Proposed site address county: Proposed site address country: Proposed site address postcode: Development type Going concern Office conversion Development site Standalone development Mixed use development Is there a marketing agent for the site Yes No Name of agent acting: Do you own this site? Yes No Please enter the text that is shown in the image below.

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Travelodge Hotels Ltd., Sleepy Hollow, Aylesbury Road, Thame, Oxfordshire, United Kingdom, OX9 3AT. Company Reg. 769170.