Booking Form

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booking form

Name:

Address

Telephone:

email address:

Date of arrival:

Expected time of arrival:

Date of departure:

Number of adults in party:

Number of children (under 16):

Sheets/towels - number:

Total rent payable:

Number of bicycles (max 2):

at £20 per cycle per week. Total:

£150 / 200euros

Total of above:

20% deposit payable at booking (do not include security deposit):
(Full amount if less than 8 weeks from arrival date)

Mrs K Brierley
Giverny
Les Chauses
24310 Paussac et St Vivien
France