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BOOKING FORM (Please print off this form, complete and send with your 20% deposit or scan and e-mail with bank details to the address below) Please make sure you have read our TERMS AND CONDITIONS

Title:................................................

Surname:..............................................................................................Forename:...................................................................

Address:..................................................................................................................................................................................

..................................................................................................................................................................................................

Postcode:......................................................................Country:.............................................................................................

Daytime Tel No:. ..........................................................................Evening Tel No:................................................................

Email address:.....................................................................................................................................

All other members of your party (We regret no pets allowed)

Title

Initials

Surname

Age (if under 18)

     

 

     

 

       
       

PLEASE NOTE: All bookings run from 4pm to 11am.
if you anticipate a later arrival, please let us know.

CONDITIONS OF DEPOSIT: The initial 20% booking deposit secures your booking but is non-refundable in case of cancellation.

 
Date
Month
No. of Weeks
From
    

 
To
    

 

PAYMENT DETAILS (Cheques in sterling to be made payable to Mrs A. Billing)

I enclose initial 20% deposit for £...................................... or €...........................................

If deposit payment by BANK TRANSFER - please give reference details below:

.....................................................................................................................................................

I agree to send the balance of £......................................... or €...........................................

By (Date)....................................................... (being 6 weeks prior to the rental period)

YOUR SIGNATURE : I declare that I am over 18 years of age. I agree and hereby accept on behalf of myself
and all named persons that this booking is made in accordance with the above conditions and to make all
payments in relation to these.

Signature...........................................................................................Date...............................................................

Please send this form - together with your 20% deposit to:
Mr and Mrs C Billing
Rouffiaguet
24270 Angoisse
Dordogne
France
rouffiaguet@aim.com

Please retain a copy of this form for your records.