Booking Form
16140 Mons,
Charente
S.W. France

Tel./Fax:
(0033) 5.45.21.27.32


Full name:
E-mail address:
Address:
Post code:
Home phone number:
Daytime phone number:
Name of property you would like to rent:
Booking period:
From
To
Number of guests:
Number of children
under 16:


Ages:
Do you require a cot and high chair:
Bed linen:
Double bed - number required:


Single bed - number required:
Rental cost
(including £75 returnable breakages deposit):
UK sterling


Euros
Total balance due: UK sterling


Euros
Deposit sent: UK sterling


Euros
Remainder balance due
( payable 6 weeks before holiday start date):		 UK sterling


Euros
How did you find us?
BOOKING DEPOSIT: a minimum of 25% deposit is required before a booking can be confirmed which is non-refundable.
You are advised to take out a Travel Insurance Policy with a cancellation clause which will enable you to recover non-refundable monies. You will be invoiced for the balance 6 weeks before your stay.

SECURITY DEPOSIT: (see clause 4 of the booking conditions) £75 (115 Euros)

The above deposits must reach us within 2 weeks of sending this booking form or the booking may be cancelled.

Please send the deposit to:
Ms. A. Gibson
LE GRAND JUIF
16140 MONS
CHARENTE
FRANCE - Tel./Fax: (0033) 5.45.21.27.32

PLEASE MAKE CHEQUES PAYABLE TO: A. GIBSON
I HAVE READ YOUR TERMS AND CONDITIONS AND ACCEPT THEM ON BEHALF OF ALL MY PARTY WHO WILL RESIDE IN THE PROPERTY, ON WHOSE BEHALF I AM DULY AUTHORISED TO MAKE THIS AGREEMENT. I AM OVER 18 YEARS OF AGE

I agree