La Petite Maison Jardinière

BOOKING FORM
	
Step 1	Please check with us availability of the period you want (either by phone/fax or e-mail)	
Step 2	About you :

	

Your name :
Name(s) of other guest : 
Your address (incl postcode) :

Your phone number (incl national code) :

Your mobile phone number :

	

Your e-mail address :

	

	
Step 3	
About your holiday :

                         -	

Dates of arrival & departure :

1-2	

+ 1 child	

For how many people ?                                       

If you have any special needs, please let us know (on the back of the booking form) how we might best meet them – we promise to do our best !	
Step 4	It would be really helpful if you could tell us how you found out about the gite, e.g. web search engine (which ?), commercial web site (which ?), word of mouth/advert (where ?) :
	
Step 5	Payment
Booking deposit (25% of full rental price) – non-returnable :	

If booking within 8 weeks of holiday :
Full rental payment
+ Breakage/excess cleaning deposit (£100/€150 per booking*) – returnable
- any special offer claimed (special offer :                                  )	

Total payment enclosed 	

	
Payment method (please delete as appropriate) :
•	Credit/debit card by PayPal (Transaction ID :  ………………………………)
•	Cheque (UK or French) payable to “Martin Roberts & Chris Stevens” (enclosed)
•	International Bankers Draft payable to “Martin Roberts & Chris Stevens” (enclosed)
* Breakage etc. deposit is not payable in advance for bookings of less than 1 week – just pay in cash on arrival,   returned on departure	
Step 6	I confirm the above information is correct & that I have read and accept the Booking Conditions & Comfort Guidelines (les Conditions de Location sont lu et approuvé). If I have provided my card details, I authorise the above credit/debit card payments and any final payments due in future (as advised to me in advance)

Signature :                                                        Date :	
Step 7	Please e-mail the Booking Form to info@martinetchris.net or post it to :
Martin Roberts & Chris Stevens,
15B, Rue Courtaudiere, Chez Ravet,
17150 SEMOUSSAC
France