Name Mrs/Mr/Miss/Ms/Other Initial Surname

Cottages at Montmeilleur
"Les Filles", "Bouquinistes", "Louis XI",
"La Chapelle", "L'Eden", "Le Ciel", "Musiques"
Montmeilleur
F38710 St. Baudille et Pipet
France
Tel./Fax +334 76 34 87 74
Name Mrs/Mr/Ms
Address
First
Post Code
Telephone Daytime
Next of Kin Telephone Daytime
Choice of Accommodation (please circle preference)
Surname
Country
Cellphone
Cellphone
Holiday Dates From
To
Estimated Time of Arrival This is assumed to be 3.30pm unless other time by prior arrangement:
About Your Group
Number of Adults
Number of Children and Age if Under 16
Name
Name
Cost for your stay
Deposit (25% of above)
Security deposit
Balance outstanding
€
€
100 €
€
due by
Special Requirements - Groceries, Flowers, Wine, Champagne, Newspaper etc. Payment will be required on arrival.
I have read and agree to the Booking Conditions. I am over 18 years of age.
Signed:
Date: