french gites Cheque Booking Form

TELEPHONE NUMBERS Day.............................. Evening .............................. E-Mail Address..............................

Please circle from the following 10 options where you FIRST found us. It saves us advertising costs and allows us to keep the prices down
I.Chez Nous` WEBSITE II.Chez Nous` BROCHURE. III.Brit Ferries WEBSITE IV. Brit Ferries BROCHURE. V.Google search, VI. Previous visitor VII.recommended by friend, VIII. You Tube IX Facebook/Twitter. X. Other (please state).........................................

RENTAL PERIOD (Sat-Sat) …….. …/…….… / 2011 to …. ……/…....… / 2011 Cot ? Yes / NO

Cheque Booking Form Please print off & send it to me with the deposit cheque of £70 per week booked. Please use two 1st Class Stamps Please send to: Nicola Harrington, Le Cormelet, Reminiac, 56140, Malestroit , France This form is to be used only if you wish to pay by CHEQUE. To pay by Visa/ Master Card CLICK HERE
HOUSE NAME (to rent) YOUR NAME ADDRESS POST CODE	La Maison ................................. ....................................................................................................... ...................................................................................................... ......................................................................................................
TELEPHONE NUMBERS Day.............................. Evening .............................. E-Mail Address.............................. Please circle from the following 10 options where you FIRST found us. It saves us advertising costs and allows us to keep the prices down I.Chez Nous` WEBSITE II.Chez Nous` BROCHURE. III.Brit Ferries WEBSITE IV. Brit Ferries BROCHURE. V.Google search, VI. Previous visitor VII.recommended by friend, VIII. You Tube IX Facebook/Twitter. X. Other (please state)......................................... RENTAL PERIOD (Sat-Sat) …….. …/…….… / 2011 to …. ……/…....… / 2011 Cot ? Yes / NO
1. RENTAL COST OF HOUSE OPTIONAL EXTRAS (No`s 2-4): 2. BED LINEN etc. £10 Single bed, £20 Double bed 3. HEATING (obligatory 16th October - 16th April) Crème £35, Blanche £45, Verte £40 Jaune £27, Orange £20,Bleue £33 4. WELCOME GROCERY PACK (See Booking Info page) Size required: Starter / Super / organic veg / BBQ 5. TOTAL TO PAY 6 . LESS DEPOSIT of £85 per week booked (Payable on booking and non-refundable) 7 . REMAINING BALANCE TO PAY (5 minus 6 ) (Payable at least two months before rental period starts)		£……….. £……….. I need ...... singles & ..... doubles £……….. £……….. £........... £……….. (enclosed) £………..
8 . Plus £100 PER WEEK BREAKAGE DEPOSIT Separate cheque please payable with `Remaining Balance` Please write your full cheque card number on the back of the cheque........thankyou Please make cheques payable to `N Harrington` Booking Conditions are available by CLICKING HERE Please have a look at them before signing the declaration below. DECLARATION. (To be signed by the main hirer) I declare that I am over 18 years of age & agree that this booking is made in accordance with the Booking Conditions which I have fully read, understood & accept on behalf of all residing in the Property named above. I agree to be held responsible for the balance of money due & payable in accordance with the booking conditions. Signature of the main hirer ______________________________________ Today's date________________ Printed name of main hirer ______________________________________
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