La Vendange Booking Form <file><print> to print this out HOME
Please read our terms and conditions before completing the booking form

   

Names

Address

E-Mail

Mobile Telephone

-

Evening Telephone

-

   

Cottage(s)
[please circle]

 [Syrah]  [Columbard]  [Chasselas]  [Verdhello] [Clairette]

   

Arrival Date and Departure Date

/ /   to / /

Party

No. Adults

No. Children

 

 

Names and ages of children


Extras Required [please circle]

[ Beach Towels (£2/pp) ] [ Linen Change (£5/pp) ] [ Breakfast Pack (£15) ]

[ End of Stay Clean (£25) ]

Any requests (e.g. cot, highchair etc.)

   

Quoted Rental Cost (exclude extras)

Less deposit due now ( £100/week)

How did you hear about us ? :

Please note that bookings made within 60 days of arrival must be PAID IN FULL.

I have read the Terms and Conditions and I accept them on behalf of all my party who will be staying in the property and on whose behalf  I am authorised to enter into this agreement. I am over 18 years of age.

 


[please sign here]

date