*
Name
of Holiday Home to be Reserved :
(Please use the drop down box to select your house)
-- PLEASE SELECT --
La Peignardiere BOTH
La Peignardiere 5+
La Peignardiere 4+
La Geraudiere
La Maison Vert
Birdsong Cottage 'Merle'
Birdsong Cottage 'Sittelle'
Birdsong Cottage BOTH
La Bonne Marie
The Coach House
La Maconnais
The Lodge
The Croft
Les Bois
La Pillerie
Vieux Courges Lavender
Vieux Courges Thyme
La Moulin
La Bucherie
*
Title
& First Name :
*
Last
Name :
*
Address :
*
Address :
Address :
Address :
*
Post
Code :
*
Country :
*
Email_Address :
*
Confirm
Email_Address :
*
Home
Tel.No. :
Business
Tel.No.:
*
Number
of weeks required :
*
Date
required from :
Unless otherwise agreed all rental
periods start & finish on a Saturday
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
Jan.
Feb.
Mar.
Apr.
May.
June.
July.
Aug.
Sept.
Oct.
Nov.
Dec.
2009
2010
2011
*
Intended
date of departure :
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
Jan.
Feb.
Mar.
Apr.
May.
June.
July.
Aug.
Sept.
Oct.
Nov.
Dec.
2009
2010
2011
Number
in party (Adults & Children Separately)
For example (3 Adults & 2 Children)
*
Is
availability shown on THIS web site?
Yes
No
Prefered
Currency (Sterling or Euro):
GB Pounds
Euros
I
have read & accept the conditions
(If you select No then this reservation cannot be accepted)
YES
NO
*
Total
Rental Cost
(cost x No.of weeks x No. of houses) :
Linen
Hire :
Please confirm that the property you require provides linen and
the cost of that service. (information can be found on the home
page of the property.)
Additional
Agreed Charges
(Cycle hire,etc)
*
Total
Due :
*
25%
Deposit
(We will advise you of the available methods of
payment upon receipt of this form)
*
Balance
outstanding :
(total due less deposit)
*
Plus
the security deposit
Please read the conditions:
*
TOTAL BALANCE PAYMENT DUE:
*
Please state where you first found our cottages
(i.e.
name of web site for example (french holiday homes, France one
call, etc.) or Brochure for example Bonnes Vacances or if just
searching the web the search engine used. This information will
be of great help to us.