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PETIT LOGIS BOOKING FORM PLEASE USE BLOCK CAPITALS Please return to: Hermann Liebbrand, Le Logis des Sources, 69 Avenue Charles de Gaulle, Chaniers,17610, France. |
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| Full Name: | ||
| Address: | ||
| Home Tel: | Day Tel: | |
| Fax: | Email: | |
| No of weeks required: | Arrival date: | Departure date: |
| Number of Adults: | No of Children: | |
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Names of other party members - please give ages of children
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| I am authorised to make this booking on behalf of my party.
I am over 18 years of age.
I enclose a non refundable deposit of €______being 20% of the total holiday cost. I agree to pay the balance of €_______ , plus a returnable damage deposit of €100, 2 weeks before the start of the holiday. (If booking within 8 weeks of the holiday start date the full amount should be enclosed.) Note: It is advisable to arrange insurance against cancellation of your holiday. |
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| Signature: | Date: | |
| Source of advertisement French Connections | ||