Booking Form

Holiday villa,near pezenas, herault , in languedoc, south of france

Bouzigues.home of the oyster!

Signed.................................... Dated......................................

Please complete in ink & capital letters & return to :

Ann Brown, Mas de Bazin, 34530 Montagnac, FRANCE

CARIGNAN / MARSANNE

( cross out the one you are not booking )

NAME (Block Capitals Please).......................................................................

ADDRESS....................................................................................................

CONTACT TEL. No...................................................... Email address........................................................

BOOKING PERIOD FROM (Arrival date).......................... TO (Last day)....................

Names of all persons travelling (8 maximum) Please show children's ages

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

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

TOTAL RENTAL COST A £...................

LESS 25% DEPOSIT B £..................

SUB TOTAL A - B £..................

SECURITY DEPOSIT (£250) £.................. (Refundable)

BALANCE

(Sub total + Security deposit) £.................. (Payable 8 weeks prior to start date)

I have read your terms and conditions and have accepted them on behalf of all members of my party who

Will reside in the property and on whose behalf I am duly authorised to make this agreement.

I am over 18 years of age.

Deposit received Deposit confirmed Balance received Balance confirmed Security amount Security returned

If you are paying in euros please cross out the “£” and use “€” .