Please print and complete this booking form, then return to the address below with your deposit cheque.
FULL NAME................................................................
ADDRESS...................................................................
................................................................................
TEL:................................ MBL...................................
BOOKING DATES..............................................
NO OF ADULTS......... CHILDREN......... BABIES..............
TOTAL RENTAL COST.....................
25% DEPOSIT ................... (enclosed)
BALANCE
...................(payable 8 weeks before rental period commences)
SECURITY DEPOSIT ...................(payable 8 weeks before rental period
commences)
NOTE; the 25% deposit which is required before confirmation of booking is non refundable.You are advised
to take out travel insurancewith a cancelation clause.
Cheques made payable to : Jane Brooks Chez Mouille, Mirambeau, 17150,Charente-Maritime, France
I am authorised to make this booking on behalf of my party. I am over 18 years of age. I enclose a non refundable
deposit of ................................ being 25% of the total holiday cost. I agree to pay the balance of ..........................
plus a returnable damage deposit of £100 for each week of my stay. To be paid 8 weeks before the start of the holiday. My
damage deposit will be returned to me within 10 days of my departure.
(If booking within 8 weeks of the holiday start date the full amount should be enclosed.)
I agree to accept the terms and conditions of the rental agreement.