BOOKING FORM

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

Title	Forename	Surname	Child's Age

PLEASE NOTE: All bookings run from 4pm to 11am. if you anticipate an earlier or 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 Nights
From
To

PAYMENT DETAILS: Cheques to be made payable to Mr & Mrs C. Billing.

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

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

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

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

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  www.gites-de-rouffiaguet.com

Please retain a copy of this form for your records.