Your Booking Form Le Moulin, St Denis Catus

Party Leader:- Name

Address

Postcode

Age if under 21

Telephone Day

Evening

Fax

Mobile Number during travel to House

Names of other members of your party:-

Party Leader (As above)

Additional Members of your Party:-

Doubles

Number of beds preferred: Singles

Arrival Date

Departure Date

No of Weeks

Supplements (Additional Persons) £

Deposit now sent £

Total Cost of Holiday £

BOOKING & PAYMENTS

Cheques payable please to:- Mrs AE Tyzack

MORE than 8 weeks prior to the holiday - Send 30% of the total above now. Balance to arrive 8 weeks before the holiday, plus Breakage Deposit cheque.

WITHIN 8 weeks of the holiday - Send total above now, plus Breakage Deposit cheque.

DECLARATION: I declare that I am over 18 years of age and agree that this booking is made in accordance with the Booking Conditions and the terms of the booking form. I agree to be held responsible for the balance of the total rental and charges hereon payable in accordance with the Booking Conditions.

To Return to

Signed:-

Date-

Post to: Mrs A.E. Tyzack, Craven Hill Lodge, Hamstead Marshall, Newbury, Berkshire RG20 0JG, United Kingdom

OR - Complete the above form, save in PDF Format and send by e-mail to:- johntyzack@lineone.net

OR - Send by Fax to: 07006034501

Any Queries? Telephone 01488 658715

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