Sample Booking Form

 

Note that we will send a Booking pack including terms, conditions, Instructions and Booking Form upon request. 

Versions may change & this may not print correctly.

 

Details of Party:

Please complete the details of the person MAKING the booking in the table below. 

 

Title

 

Surname

 

Christian Name

 

Initials

 

Address line 1

 

Address line 2

 

Town

 

County

 

Postcode

 

Tel. - Day

 

Tel. - Evening

 

Mobile

 

E-Mail

 

 

Please complete the details of the rest of the party in the table below.

  

 

Guest 2

Guest 3

Guest 4

Guest 5

Title

 

 

 

 

Surname

 

 

 

 

Christian Name

 

 

 

 

Age (if under 18)

 

 

 

 

 

Rental Details:

 

 Agreed period of Stay in 15, Grand Rue, Colombiers:

 From                Day                  Month              Year

 

To                    Day                  Month              Year

 

Rate for minimum 3 night stay                                                                         __________

Rate for 4 night stay                                                                                          __________

Rate for 5 night stay                                                                                          __________

Rate for 6 night stay                                                                                          __________

Rate for first week                                                                                             __________

Additional weeks (5% reduction in rate)                                                        __________

Additional part week days                                                                               __________

Linen/Towels                                                                                                     __________

 

Total Charges                                                                                                __________

 

 

Deposit (25%) to be remitted with the booking                                    __________

 

Total balance to be paid 6 weeks before arrival at Colombiers        __________

 

Please provide a separate cheque for 100.00 to cover the

Security Deposit.  Your cheque will be returned to you subject 

to  the Terms & Conditions

 

 

Please make cheques payable to Mrs. Anne Wilkes

  

Date:

 

Signature:

 

I am over 18 years of age and have read and accepted the Booking Conditions as shown on behalf of all the members of the party.

 

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