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Self-catering Accommodation in the Dordogne Region of South West France

Booking Form
To be completed after initial enquiry & confirmation of availability by the owners

(Please print this page, sign it & post with Booking Conditions to address below)

Mrs C. M. Membrey
Tel: +44 (0)1892 528781  Mobile: 07768 555319  email: claire.membrey@btinternet.com
 

Mr/Mrs ………………………………………….........
Christian Name….....................................................
Surname…………………………………………….
Occupation………………………………………….
Nationality…………………………………………...
Home Tel No……………………………………….
Day Tel No…………………………………………..
Fax No……………………………………………….
Home Address……………………………………..
………………………………………………………..
…………………………. Postcode………………..
Dates: From......................... To….............................
Number of weeks…………………………………..
Cot required
Maid Service

Where did you hear about us? ………………………………………………………
………………………………………………………

NOTE:
It is advisable when booking that your party is covered by insurance up to at least the cost of property rental

Please list all persons who will be staying at the property during the rental period.

Title     Init           Surname           Age (Children)
.....................................................................................
.....................................................................................
.....................................................................................
.....................................................................................
.....................................................................................
.....................................................................................
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Rental Cost £……………………
10% surcharge for
single week bookings
during peak season 		£……………………
Total £……………………
BALANCE £……………………
Security Deposit £ 250.00 per property
Date Due ..……………………

 

All sections of this form MUST be completed and returned
with a signed copy of the Booking Conditions. Together they form the contract.
  Date…………………………………………………
Signed………………………………………………
Any changes whatsoever to the list of people named above must be notified in writing
to C Membrey prior to departure.
If more people are found to be in the property than listed above, the deposit will not be returned.
   
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