Chauprades
Sérignac-Péboudou
France

 

Booking Form

Please print and write clearly then return to the address at the bottom of the page as soon as possible. Please let us know of any special requirements you may have, such as a baby cot, and we will endevour to meet your request. Please Note - animals are not allowed.

 

Your Details

Surname:

 

Title (Mr, Mrs, Ms other):

 

Forename:

 

Telephone (day):

 

Telephone (evening):

 

Fax:

 

E-Mail:

 

Mailing Address

 

 

 

 

 

 

 

 

 

 

 

 

Rental Details

Booking Period From:

To:

Number of Adults:

Number of Children:

 

Total Rental:

£

Less 25% Deposit Enclosed

£

Sub Total

£

Add Breakage Deposit as per terms and Conditions

£250.00

Balance payable 8 weeks before rental period commences

£

 

DECLARATION: I/we have read, accept and agree to be bound by the Terms and Conditions for Chaprades .  I/we enclose the 25% deposit.  The remaining monies (including the breakage deposit) will be paid 8 weeks prior to the commencement of the holiday.

 

Signed:                                                 Date:

 

Please make cheques payable to: M. Gibbons & E. Edgerton, using international postage, to:

Mark Gibbons & Elaine Edgerton
Chauprades
47410 Sérignac-Péboudou
Lot-et-Garonne
France

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