Booking Form

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booking form

Giverny, Les Chauses, Paussac et St Vivien, Brantôme, France
 

Name:

 

Address

 

Telephone:

 

email address:

 

Date of arrival:

 

Expected time of arrival:

 

Date of departure:

 
Note: Arrival is normally on Saturdays after 4pm, Departure is normally on Saturdays before 10am, except by special arrangement with the owner.

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:

 
  Returnable security deposit (See note below):

£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)

 
Note: The full balance is due 8 weeks before date of arrival. A £150/ 200euro returnable security deposit is payable together with the final balance.

Please make cheques payable to K Brierley. Cheques accepted in pounds sterling, euros and US dollars. Please return this booking form together with your deposit, within 7 days to:

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


Telephone: +33 553 087847

I have read and agree to the booking conditions.		 Please tell us where you saw this property advertised.
giverny.co.uk
francecottage.com
Franceonecall
Other - please complete box
 
Personal recommendation

Signed:

  Date: