Please copy and paste into a word document which can then be completed and attached to an email or printed and posted
mikeburrowes@yahoo.com
Booking Form for "Gite de Pechine"
| Name: | ||
| Add 1: | ||
| Add 2: | ||
| Add 3: | ||
| Address and Post code: | ||
| Tel No: | ||
| E-mail: | ||
| No of Children: | ||
| Ages of Children: | ||
| No of Adults: | ||
| Arrival Date: | ||
| Departure Date: | ||
| Cot high chair etc required | ||
| Weekly charge | ||
| Deposit 30%: | ||
| Security Deposit (per booking) | 100 € |
I accept the general rental terms and conditions for "Gite dePechine" as specified below. I can confirm that I am over 18 years of age.
Read & Approved
Date: ____________________ Signature: ____________________________________