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 .................................

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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 ______________________________________

 

Siret no 490 745 650 00021

 

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