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