Please print form off, then fill, sign, date and post with deposit

Name

(Party Leader)

 

Address

 

 

Telephone

 

Mobile

 

Email

 

Gite (Please specify  P)

Gite 1

 

Gite 2

 

Gite 3

 

Arrival  Date

 

Departure Date

 

Number in Party

 

Children

 

Ages

 

Unless specified all rooms are twin.                                                

 

 

Payment Schedule

Deposit – with booking form *

25% of total cost

8 weeks before arrival date

 Balance

Breakage Deposit - Payable locally

300 Euros

* If less than 8 weeks before date or arrival, total cost is due with the booking form.

 

Stirling Cheques :   Payable to Gite Luberon  En-Provence

Send To : 7 Alpha Road – Birchington – Kent CT7 9EG

 

DECLARATION :   By signing this form I  confirm that I have read and agree to the terms and conditions for the rental of the property and hereby take responsibility for my party.

 

Signed :                                                                                                          Date :