PLEASE COMPLETE IN BLOCK CAPITALS (Print Out & Complete)
Full Name: ...............................................................................
Address: ................................................................................................................
Town: ........................................  County: .......................................
Post Code: .....................
Daytime Telephone : ........... .................... Evening Telephone: .......... ......
Mobile: ........ .................
Contact number for when you are on Holiday....................................
Email Address: .................................@.........................................
............
Dates requested (inclusive): ..................................... to ..................................... 202..
Number in Party: Adults: ................ Children: .................
Total Rental Cost: £.......... .00
Booking Deposit:: £.......... .00
Damage Deposit - Option 1: £.......... .00
Payable with Balance payment
Damage Deposit - Option 2: £.......... .00
Payable on Arrival in Euros (cash only).
Balance:
£.......... .00 (As per Booking Conditions)
Please contact me re:
I have read and agree to the booking conditions. (See below) (Initial here to signify acceptance.)
Signature:.......................................................... Date:....................
....................
Please return your completed form to:
P. Harvey
10 rue D'Occitanie
11300 Limoux
Aude
France
Please make cheques payable to P. Harvey. Or use our Paypal Account to make a secure payment.
Guests are strongly advised to make sure that they are in possession of Travel Insurance.
Thank you for your booking.
Phillip Harvey
Please Read the Booking Conditions.
Feedback. Please complete the Guest Book at the end of your holiday.
All your comments are important to us and help us improve both the home and the quality of the holiday. Posive and construction feedback is always welcomed and acted upon.
We are especially interested if you have visited a place that you may feel might be of interest to future guests. Short personal experience story along with a photo or two will make it an attractive addition to our swebsite.
Please use our Electronic Feedback Form which will be sent to you at the completion of your holiday, to submit your comments.
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