"Bienvenue"

13 Coteau de la Chaussée

La Chaussée
37500 St. Germain-sur-Vienne
France

   

   

Please print this booking form, complete it and return 
it to us,
with your deposit, to the following address:

Mrs. K.V. Coulson, 19, Orchard way, Kemsing, Sevenoaks, Kent. TN15 6QA

Please reserve for me/ us as follows:-

Dates (from).........................................(to)..........................................2004

Total number of people in party........................

Comprising: Adults.............Teenagers..............Children..............Babies.........

Enclosed herewith, my deposit of:-

£80 per week (high season)       £.........

£50 per week (all other weeks) £.........

Making a total deposit of:           £.........

which I/we understand will be refunded in full once you have received the
keys back from me/us after the holiday and once confirmation has been
received by you that there was no damage to the accommodation during 
my/our stay. 
I/we understand that this deposit is NOT refundable in the event that I/we 
cancel this booking. I/we hereby undertake to make good (or pay for the 
making good thereof) any damage caused to the premises by me/us during 
my/our stay.

Name.............................................     Telephone Number...............................

Address......................................... 

.....................................................      Signature...........................................

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

Post Code......................                     Date........................................./ 2004

We would appreciate it if you would kindly tell us how you heard of us.
Thank you.

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

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