La Locherie

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GITE BOOKING FORM
Preferred Gite (tick box):
Maison des  Etoiles Maison du Soleil
CUSTOMER DETAILS
Name:
Address:

Tel (Day):
Tel (Eve):
E-Mail Address:
MEMBERS OF PARTY
Names Address (if different to above) Emergency Contact Details
BOOKING DETAILS
Rental from: Rental to: Number of weeks:
AMOUNT PAYABLE
Booking more than 8 weeks before departure Booking within 8 weeks of departure
Total gite rental cost: £ £
Booking deposit - 25% of rental: £
Total due immediately: £
Balance of rental due (75%): £
Plus security deposit of £50 per week: £ £
Total due 8 weeks before departure: £ £
I enclose a cheque for £, payable to P J Durrant, which I understand is not refundable in the event that I cancel my booking.
HOW DID YOU FIND OUR GITES?
French Connections Holiday Gites.com Holiday Gites.co.uk
Visit France Search engine or owner's website Other (please specify)
I confirm, on behalf of all members of my party, that I have read and understood the Terms & Conditions relating to La Locherie and that all agree to be bound by them. I note that the properties are non-smoking.
Name: Signature: Date:

Please post to Phil Durrant, 29 Great College Street, Brighton BN2 1HJ.


© La Locherie 2002-2010
page last updated: June 02 2010