Booking form gîte "les Deux Chênes"

Arrival date        : .................................................................................................

Number of days : .................................................................................................

Name                : .................................................................................................

Address            : .................................................................................................
                          .................................................................................................
                          .................................................................................................
                          .................................................................................................

Phone/mobile   : .................................................................................................
Fax                  : .................................................................................................
Email               : .................................................................................................

Number of people : ................................ Nb of children : ...........................................

Full price to be paid  : ................................

I am over 18 years old ,  I agree the above terms and conditions


               Date : ............................. at : ........................................


              Signature : ...............................................................................

 I have paid the following amount direct to bank/or by bank transfert (delete as appropriate):

25% deposit : .............................

  Bank : Crédit Agricole : CA
  Bank nos :                    016012404908
  Account  :                     00189492102
  Address : 18 avenue de la République 16260 Chasseneuil France

Thank you for your visit, we hope that you and your family enjoy staying in our home at "les Deux Chenes" at much as we do.

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