Booking Form for the property known as la maison du mūrier

Please print clearly or type. Thank you.

Name: ______________________________________________________________

Address (Include country and postal code):

____________________________________________________________________

Evening telephone: _________________________________________________

E-mail: ____________________________________________________________

I wish  to receive confirmation of my booking at the above e mail address 

I would prefer a written confirmation of my booking (please delete one method)

From __________________________ to _________________________

Please note: Rental dates begin on a Saturday at 4:00 p.m. and end on a Saturday at 10:00 a.m. unless you have negotiated other dates with the Owner.

Number of people in your party:  Adults _____ Children _______

Ages of children (please state if a cot is needed)

Due at time of reservation. Please pay costs in pounds or euros

Make cheques payable to: R B Forrester

Total rental cost:  €____________
25% deposit:       €____________
  

Due 6 weeks before rental commences:

Balance of rental = €____________

Security deposit  = €____300________

Please note: You are advised to take out a Travel Insurance Policy with a cancellation clause, which may enable you to recover non-refundable monies.

Authorizing signature:
I have read your terms and conditions and accept them on behalf of all my party who will reside in the Property, and on whose behalf I am duly authorized to make this agreement. I certify that I am at least 21 years of age.

Please print your name and date.

_____________________________________________________, _____________

Please sign your name: _____________________________

Now return this document along  with a signed copy of the booking conditions and your deposit to:

Contact information