BOOKING FORM
PLEASE USE BLOCK CAPITALS
Please return to: Mrs Eliane Goursolle, La Sérénelle, Le Bourg, Villars, Dordogne, 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

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 €250, 6 weeks before the start of the holiday.

(If booking within 6 weeks of the holiday start date the full amount should be enclosed.)

Cheques made payable to :Mrs E Goursolle
Your booking is made on receipt of this booking form along with your deposit.(please check availability)

* Four courses french dinner can be provided by prior reservation : 30€ each with two glasses of Bordeaux wine.

Signature:

 

Date:

 

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