2018 BOOKING FORM
PLEASE PRINT THIS FORM - COMPLETE USING BLOCK CAPITALS
and return by post with your deposit cheque to
John Holroyd, Domaine de Villechaise, 16500 St. Maurice des Lions, FRANCE

Full Name:

Address:

Home Tel:

Day Tel:

Fax:

Email:

No of weeks required:

Arrival date: Saturday

Departure date:Saturday

Gatehouse or Petite Maison - Delete as required Number of Adults: No of Children:

Names of other party members - please give ages of children

 

 

 

 

Number of carp Fishermen ( Max 2 per gite - more by special arrangement if other gite not fishing) . . . . . .

I am authorised to make this booking on behalf of my party. I am over 18 years of age.

I enclose a deposit of ________€  being 25% of the total holiday cost.
I agree to pay the balance of ________€ , 8 weeks before the start of the holiday. *
OR
I have paid _________€ by PAYPAL or direct to bank as DEPOSIT/FULL PAYMENT*
I agree to pay the balance of ________€ , 8 weeks before the start of the holiday.
*Delete as required

I agree to pay a returnable deposit, in cash, of 300€   - on arrival to cover any required cleaning when we leave and any breakages. These terms are in addition to those stated on www.charente-holidays.com under the "Bookings" tab.

Please indicate here any additional services you require:-
Gite Cleaning - 65€   - YES/NO
Cycle Hire - Number of Bikes ....... - Days required - ........

We advise you to arrange insurance against cancellation of your holiday.

Date:

Signature:

Where did you see our Ad? (optional info)