Print this form, fill it in and post to the address shown below.
PLEASE USE CAPITALS
Return to: Susan N. Ponthus. Domaine du Bois d´Amont, 1850, Rt. de St. Vallier, Cabris, 06530, France
| Full name: | |
| Address: | |
| Home telephone: | Day telephone: |
| Fax: | Email: |
| No of weeks/days required: | |
| Arrival date: | Departure date: |
| No of adults: | No of children: |
| Names of other party members: (please give ages of children) |
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I am authorised to make this booking on behalf of my party. I am over 18 years of age. I enclose a nonrefundable deposit of €______, being 50%% of the total holiday cost. I agree to pay the balance of €______ plus a refundable damage deposit of €250, 2 weeks prior to the holiday start date. (If booking after 2 weeks prior to the holiday start date the full amount should be enclosed.)
Please read and agree to our Booking Conditions. Note: It is advisable to arrange insurance against cancellation of your holiday. |
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| Signature: | Date: |
Booked through: |
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