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

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

CONTACT  TEL. No..................................               E-MAIL................................................................

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

Names of all persons travelling  (8 maximum)   
Please show childrens age  ( 5 years minimum at the  holiday date)
                                                                           
.............................................                                                              .............................................

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

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


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

LESS 25% DEPOSIT                     B  £......................     (Enclosed)

SUB TOTAL                               A - B  £.....................

SECURITY DEPOSIT  (£250)             £.....................     (refundable)

BALANCE
(Sub total + Security deposit)           £.....................     (Payable 8  weeks prior  to departure)


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.

 Booking form

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

Please complete in ink & capital letters & return  to :  

Ann Brown, Mas de Bazin, 34530  Montagnac,  FRANCE