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Villa La Grange, Payzac, Dordogne, France
Booking Form
PLEASE ENSURE
Name
Phone
Email
Email repeat
Your address
Postcode
Town
Country
Number of Adults
Number of Children
Ages of Children if under 18:
Child 1 None under 1 year 1 - 5 years 5 - 10 years 10 - 15 years 15 - 18 years Child 2 None under 1 year 1 - 5 years 5 - 10 years 10 - 15 years 15 - 18 years Child 3 None under 1 year 1 - 5 years 5 - 10 years 10 - 15 years 15 - 18 years Child 4 None under 1 year 1 - 5 years 5 - 10 years 10 - 15 years 15 - 18 years
Arrival Date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Departure Date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Deposit amount in euros
Balance in euros
Balance due date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
BEDDING AND TOWELS
Yes I would like bed linen and towels to be supplied
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.