BOOKING FORM

Please print off this form, complete and send with your 20% deposit cheque (or scan and e-mail) to the address below.
Please make sure you have read our BOOKING CONDITIONS

Title:......Surname:......................................................Forename:................................................

Address:....................................................................................................................................

.........................................................................................................................................

Postcode:......................................................................Country:...............................................

Daytime Tel No:. ....................................................Evening Tel No:........................................

Email address:....................................................................................................

All other members of your party (We regret no pets allowed)

Title Forename Surname
     
     

PLEASE NOTE: All bookings run from 4pm to 11am. if you anticipate an earlier or later arrival, please let us know.

CONDITIONS OF DEPOSIT: The initial 20% booking deposit secures your booking but is non-refundable in case of cancellation.

  Date Month No. of Nights
From      
To      

PAYMENT DETAILS: Cheques to be made payable to Mr & Mrs C. Billing.

I enclose initial 20% deposit for £......................................

If deposit payment by BANK TRANSFER - please give reference details below:

.................................................................................................................................

I agree to send the balance of £.........................................

By (Date)....................................................... (being 6 weeks prior to the rental period)

YOUR SIGNATURE : I declare that I am over 18 years of age. I agree and hereby accept on behalf of myself and all named persons that this booking is made in accordance with the above conditions and to make all payments in relation to these.

Signature..................................................................................Date..................................

Please send this form - together with your 20% deposit to:

Mr and Mrs C Billing, Rouffiaguet, 24270 Angoisse, Dordogne, France
rouffiaguet@aim.com  www.gites-de-rouffiaguet.com

Please retain a copy of this form for your records.