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Primetiere Manor House - Booking form

PLEASE USE CAPITALS

Return to: Christian Augonnet. Les Grandes Primetieres, Jarze, 49140, 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)

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 25%% of the total holiday cost. I agree to pay the balance of €______ plus a refundable damage deposit of €150, 8 weeks prior to the holiday start date. (If booking after 8 weeks prior to the holiday start date the full amount should be enclosed.)

Note: It is advisable to arrange insurance against cancellation of your holiday.
Signature: Date:

Booked through:

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