* Name of Holiday Home to be Reserved:
(Please use the drop down box to select your house)

* Title & First Name:

* Last Name:

* Address:

* Address:

Address:

Address:

* Post Code:

* Country:

* Email_Address:

* Confirm Email_Address:

* Home Tel.No.:

Business Tel.No.:

* Number of weeks required:

* Date required from:
Unless otherwise agreed all rental
periods start & finish on a Saturday

* Intended date of departure:

Number in party (Adults & Children Separately)

For example (3 Adults & 2 Children)

* Is availability shown on THIS web site?

Yes No

Prefered Currency (Sterling or Euro):

GB Pounds Euros

I have read & accept the conditions
(If you select No then this reservation cannot be accepted)

YES NO

* Total Rental Cost
(cost x No.of weeks x No. of houses) :

Linen Hire:
Please confirm that the property you require provides linen and the cost of that service. (information can be found on the home page of the property.)

Additional Agreed Charges
(Cycle hire,etc)

* Total Due:

* 25% Deposit
Please round this figure up or down to the nearest whole number i.e. No pence or Centièmes

* Balance outstanding:
(total due less deposit)

* Plus the security deposit
Please read the conditions:

* TOTAL BALANCE PAYMENT DUE:
(We will advise you of the available methods of
payment upon receipt of this form)

* Please state where you first found our cottages
(i.e. name of web site for example (french holiday homes, France one call, etc.) or Brochure for example Bonnes Vacances or if just searching the web the search engine used. This information will be of great help to us.