Bois de Lugot
Armillac,
France
Please print and write clearly then return to the address at the bottom of the page as soon as possible. Please let us know of any special requirements you may have, such as a baby cot, and we will endevour to meet your request.
Your
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Surname: |
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Title (Mr, Mrs, Ms other): |
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Forename: |
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Telephone (day): |
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Telephone (evening): |
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Fax: |
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E-Mail: |
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Mailing Address |
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Rental
Details
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Booking Period From: |
To: |
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Number of Adults: |
Number of Children: |
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Total Rental: |
£ |
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Less 25% Deposit Enclosed |
£ |
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Sub Total |
£ |
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Add Breakage Deposit as per terms and Conditions |
£150.00 |
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Balance payable 8 weeks before rental period
commences |
£ |
| DECLARATION: I/we have read, accept and agree to be bound by the Terms and Conditions for Bois de Lugot. I/we enclose the 25% deposit. The remaining monies (including the breakage deposit) will be paid 8 weeks prior to the commencement of the holiday. Signed: Date: |
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Please make cheques payable to: M. P. Gilbert and return this form, using international postage, to: Sureau 47330 Douzains FRANCE |