Cheque Booking Form Please print off & send it to me with the deposit cheque of £85 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 .................................

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

Please circle from the following 10 options where you FIRST found us. It helps us to keep the prices down !
Chez Nous` WEBSITE or Chez Nous` BROCHURE. or
Brittany Ferries (Holiday France Direct's) WEBSITE or Brittany Ferries (Holiday France Direct) BROCHURE or
Google search, Previous visitor, Recommended by friend, France For Families website, Other (please state).........................................

RENTAL PERIOD (Sat-Sat) …….. …/…….… / 2012 to …. ……/…....… / 2012   Cot req ? 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 15th October - 14th April)
Crèm £44, Blanch £47, Vert £43, Roug £38, Orange £23, Violet £28 Bleue £36

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 ______________________________________

 

Siret no 490 745 650 00021

 

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