Full Name: .......................................................
Postal Address: .......................................................
.......................................................
Telephone no: Daytime:............. Evening:................
Property Details..
Date Required (inclusive) From............... To................
Agreed Tariff (Euro) ......................
Additional Requirements or Special Requests:
.........................................................................................................
.........................................................................................................
........................................................................................................
Party Detail:
Name Age(if under 18)
1. .......................................... ...........
2. .......................................... ............
3. .......................................... ............
4. ........................................... .............
I have read, understood,accept and agree to abide by the terms and coditions of rental on behalf of all in my party, as an authorised contract.
Signature: Date:
Please print out this form,sign it, then send it and your 20% deposit (or full payment if applicable) to: A Gorvett, Chez Jabier, 18370 St Priest La Marche, France. (The balance will be payable 8 weeks before arrival). We will then contact you to confirm your booking. Please feel free to contact us for any further information to help us make your stay as enjoyable as possible.