Booking Form

Gite Coquelicot - Booking Form
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Please return the signed form and deposit cheque to:
Martin & Teresa Crawford , Le Crouzet, 24380 Cendrieux, France
Full Name
Address:
Home Tel:
Day Tel :
Email:
Arrival Date:
Departure Date:
Number in group:
	Name		Age
Names of other party members, please give ages of children (under 18)
I am authorised to make this booking on behalf of my party. I am over 18 years of age. I agree to all the booking conditions, which I have read.
I agree to pay a non-refundable deposit of £…… being 20% of the total holiday cost. This has been paid via online banking to: Mrs T Crawford, Sort Code: 40-47-73, Account No: 31744062. Your Reference should be your name and date of holiday. I agree to pay the balance of £………. 8 weeks before the start of your holiday to the same bank details as above. If booking within 6 weeks of the holiday start date, full payment must be submitted.
Your booking will be confirmed on receipt of this booking form and payment into the bank account as above. Note, it is advisable to arrange insurance against cancellation of your holiday.
Signature:		Date