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Booking Form for “Pechine Chambres D' Hotes ”
Please copy and paste
into a word document which can then be completed and attached to an email or
printed and posted
return to
:
mikeburrowes@yahoo.com
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Name: |
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Add 1: |
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Add 2: |
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Add 3: |
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Address and Post code: |
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Tel No : |
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E-mail: |
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No of Children: |
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Ages of Children: |
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| No of Adults: |
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| Arrival Date: |
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| Departure Date: |
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| Cot high chair etc required |
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Daily charge |
50 euros (Low) 55 euros
(High) |
| Deposit 30% : |
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| Total
payable |
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I have read and accept the general rental terms and conditions for
“Pechine Chambres D'Hotes”. I can confirm that I am over 18 years
of age. |
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Date |
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Signature |
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