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BOOKING FORM
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To email form fill in details and press submit

Please return to: Mrs J Rogers, Lavaud, St Paul La Roche, 24800, France.
Full name:

Address:

 
Home Tel: Day Tel:
Fax: Email:
No of days required: Arrival date:
Departure date:
Number in group: Number of beds required:
Number of children under 14: Cot needed: Yes/No
Which Property: farmhouse
Barn
farmhouse and Barn		 Beds required: Double / Twin

Names of other party members, please give ages of children:

 

 

 

I am authorised to make this booking on behalf of my party. I am over 18 years of age. I agree to all the booking conditions, which I have read.

 

I enclose a non refundable deposit of £ being 30% of the total holiday cost. I agree to pay the balance of £ and a security deposit of £350, 8 weeks before the start of the holiday.

(If booking within 8 weeks of the holiday start date the full amount should be enclosed.)
Cheques made payable to :Mrs J Rogers
Your booking is made on receipt of this booking form along with your deposit.(please check availability)

 

 

Signature:

 Date:

 


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