Le Pavillon à la Campagne

BOOKING FORM
	
Step 1	We suggest you check with us availability of the period you want (either by phone/fax or e-mail) before completing and sending your booking form	
Step 2	About you 

Your name :

Your address (incl postcode) :

Your phone number (incl STD code) :

And if you have them :	

Your mobile phone number :

	

Your e-mail address :

	

	

Step 3	About your holiday :

What date do you want your booking to start :

                   weeks	

For how many weeks ?

For how many people (max 6) ?
                   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, but cannot guarantee !	
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% rental price) – non-returnable :	

If booking within 8 weeks of holiday :
Full rental payment
+ Breakage/excess cleaning deposit (£100/€145 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)	
Step 6	I have read and accept the Booking Arrangements

Signature :                                                        Date :	
Step 7	Please post the Booking Form and cheque to :

Martin Roberts & Chris Stevens,
15B, Rue Courtaudiere, Chez Ravet,
17150 SEMOUSSAC
France