ON-LINE BOOKING FORM (For payment by electronic bank transfer only) For cottage 'Le Petit Vallon', Nr. Payzac 24270, Dordogne, France _________________________________________________________ PLEASE ENSURE:
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PLEASE ENSURE:
That you have confirmed availability before making payment. That you quote 'Le Petit Vallon' and your arrival date when making your Bank Transfer That you fill in all of the fields below: Your Name: Your Email Address: Your Telephone Number: Your Address: Town/City Postcode Country Number of Adults: Number of Children: Arrival Date: Departure Date: PAYMENT DETAILS: Payment Method: BANK TRANSFER Total Rental Amount (in £GBP) Deposit Amount (in £GBP) Balance Amount (in £GBP) Balance to be paid by Date (being 6 weeks prior to the Rental Period) I declare that I am over 18 years of age. I agree and hereby accept on behalf of myself and all named persons that this booking is made in accordance with the Terms and Conditions and to make all payments in relation to these.
Your Name: Your Email Address: Your Telephone Number: Your Address: Town/City Postcode Country Number of Adults: Number of Children: Arrival Date: Departure Date: PAYMENT DETAILS: Payment Method: BANK TRANSFER Total Rental Amount (in £GBP) Deposit Amount (in £GBP) Balance Amount (in £GBP) Balance to be paid by Date (being 6 weeks prior to the Rental Period) I declare that I am over 18 years of age. I agree and hereby accept on behalf of myself and all named persons that this booking is made in accordance with the Terms and Conditions and to make all payments in relation to these.
Your Name:
Your Email Address:
Your Telephone Number:
Your Address:
Town/City
Postcode
Country
Number of Adults:
Number of Children:
Arrival Date:
Departure Date:
PAYMENT DETAILS:
Payment Method: BANK TRANSFER
Total Rental Amount (in £GBP)
Deposit Amount (in £GBP)
Balance Amount (in £GBP)
Balance to be paid by Date (being 6 weeks prior to the Rental Period)
I declare that I am over 18 years of age. I agree and hereby accept on behalf of myself and all named persons that this booking is made in accordance with the Terms and Conditions and to make all payments in relation to these.