Contact:
Mark or Lynn Frisby
Tel:
(00 33) 5 53 27 26 13
E-mail:
mark.frisby@tiscali.fr

Le Perroquet - Booking Form
Please print out, complete and send to us with your cheque. We will let you know the address.
FULL NAME
 
ADDRESS
(inc. POSTCODE)
 
E-mail Address
 
DAY TEL. NO. (inc. STD code)
 
EVENING TEL. NO. (inc. STD code)
 
Are you booking:
Gite 1
 
Gite 2
 
Whole House
 
BOOKING PERIOD
(Saturday to Saturday)
From:
To:
TOTAL NUMBER IN YOUR PARTY
Number of ADULTS:

Number of CHILDREN:

Please give all names
   
TOTAL RENTAL COST
(See TARIFF)
£
LESS 25% DEPOSIT
£
SUBTOTAL
£
PLUS SECURITY DEPOSIT
£200 (on a separate cheque)
BALANCE (Payable 6 weeks
before rental period)
£
I HAVE READ THE TERMS AND CONDITIONS, AND ACCEPT THEM ON BEHALF OF ALL MY PARTY WHO WILL RESIDE IN THE PROPERTY, ON WHOSE BEHALF I AM DULY AUTHORISED TO MAKE THIS AGREEMENT. I AM OVER 18 YEARS OF AGE.
Signed
 
Date