I/We wish to book the accomodation for ___________ nights.

Dates from_____________ to _____________( inclusive).

I/We enclose a cheque/bank transfer as deposit, for 30% of the total cost.

My/Our contact details are:

Name:____________________________

Address:________________________________________________________________________________________

Telephone number: (hm)__________________________ (mob)____________________________

I/We agree to the Terms and Conditions.

Signature__________________________ Date_____________________________

Please print and keep a copy of the Terms and Conditions and a copy of the Booking Form for your personal use.

You will receive confirmation of booking and directions by post, upon receipt of deposit.

To book or any queries please don't hesitate to call us on (hm) 0033 563305377 or (mob) 0033631999431

Our postal address is:

Sid and Laura Havard, Lausoprens,82140, St. Antonin Noble Val, France.