BOOKING FORM

Please print form off, then fill, sign, date and post with deposit

Name

(Party Leader)

 

Address

 

 

 

Telephone

 

Mobile

 

Email

 

Gite

(Please specify P)

Gite 1

 

Gite 2

 

Gite 3

 

Arrival

Date

 

Departure Date

 

Number in Party

 

Children

 

Ages

 

 

Please Note : Unless specified all rooms are twin

 

Payment Schedule

Deposit - with booking form *

25% of total cost

8 weeks before arrival date

Balance

Breakage Deposit - Payable locally

300 Euros

 * If less than 8 weeks before date or arrival, total cost is due with the booking form.

 Stirling Cheques :   Payable to Gite Luberon-En-Provence

Send To : 7 Alpha Road - Birchington - Kent CT7 9EG

 Declaration

By signing this form I confirm that I have read and agree to the terms and conditions for the rental of the property and hereby take responsibility for my party.

 Signed :                                                                               Date :