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Print this form, fill it in and post to the address shown below.

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La Perception - Booking form

PLEASE USE CAPITALS

Return to: John Duff, 21 Binswood Avenue, Leamington Spa, CV32 5se

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)

Please read and agree to our Booking Conditions.

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

Signature: Date:

Booked through:

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