Full name:

Address:

Home telephone:

Day telephone:

Mobile:

Email:

Arrival date:

Departure date:

No of adults:

No of children:

Names of other party members:

(Please give ages of children)

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 refundable damage deposit of £100, 8 weeks prior to the holiday start date. (If booking after 8 weeks prior to the holiday start date the full amount should be enclosed.)  I have read and agree to the booking conditions.

Cot required YES/NO                    High Chair required YES/NO

Please read and agree to our Booking Conditions

Note: It is advisable to arrange insurance against cancellation of your holiday.

Signature:

Date:

Now send the completed booking form with the cheque to: -

Warwick Peak, 8 rue Albert Haupais, 50800 LA CHAPELLE CÉCELIN, France