ADDRESS ..................................................................................................................................................................

   ........................................................................................................................................................................................

   POST CODE  ..................................………............    PHONE……........................................................................

   MOBILE PHONE .......................................................................................................................................................

   and/or EMAIL    .........................................................................................................................................................

   For which gîte would you like to make a booking? Please tick a box (boxes)

   Les Passereaux (2/3)    Les Rouges-queues (2)    Les Chardonnerets (4)

   BOOKING PERIOD From:.....................................................To:.......................................................

   NUMBER OF PEOPLE IN YOUR PARTY: ADULTS.....................   CHILDREN (under 16) .......................

   TOTAL RENTAL COST £...................................    LESS 25% DEPOSIT £................................(Enclosed)

    Sub Total £...................................     SECURITY DEPOSIT £100.00 per week ……..............(Refundable)

   BALANCE £....................................       (Payable 4 weeks before rental period commences)

   Please make all cheques payable to 'Susan Carpenter'. If you would prefer to pay by Personal Internet Banking please let me know and I will email you my English (or French) Bank details.

(NB 25% deposit, required before a booking can be confirmed is non-refundable. You are advised to take out a Travel Insurance Policy with a cancellation clause, such as the Chez Nous Personal Travel Policy, which may enable you to recover non-refundable monies)

I HAVE READ YOUR TERMS AND CONDITIONS AND ACCEPT THEM ON BEHALF OF ALL MY PARTY WHO WILL RESIDE IN THE PROPERTY, ON WHOSE BEHALF I AM DULY AUTHORISED TO MAKE THIS AGREEMENT. I AM OVER 18 YEARS OF AGE.

   DATE ............................................................                     SIGNED.......................................................................