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10 Canons Way, Steyning, West Sussex. BN44 3SS

Tel: 44 (0)1903 879342

Email: beverleygilbert@btopenworld.com


BOOKING FORM for MAISON MOLIERE, PEZENAS


Dates required from:.……………………………………………… To:………………………………………………

Name: (Surname) …………………………………………Initials:.…………………Titles:.………….…….….

Numbers in group:………………………Adults. Children (and ages):….……………………............

Address for correspondence:………………………………………………………………………………………….

……………………………………………………………………………………. Post Code:………………………………

Mobile Tel No:………………………………………… Home / Other Tel No:………………………………….

Email:………………………………………………………Alternative Email:…………………………………………

Do you require optional end of cleaning service?………………………(add £25 or 30 EURO)

Which website did you find details about Maison Moliere?……………………………………………

I, the undersigned have read and agree to the booking conditions and procedures for the rental of Maison Moliere, Pezenas, France.

Renter:(signature)………………………………………………..... Date:…………………………………………

Rental cost: £ …………..………...... plus optional cleaning £ …………..

Plus £150 (or 200 EURO) damage deposit = TOTAL £ ……………

Reservation Deposit enclosed:£………………(30% of rental) BALANCE TO PAY £ …………..

(Balance to be paid 6 weeks before start date of the holiday)

Please send booking form and deposit/balance to: Beverley Gilbert at the above address.

Email:beverleygilbert@btopenworld.com

 

 

 

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