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Loire Cottages

Booking Form

Name _____________________________________________

Address _____________________________________________

_____________________________________________

Telephone ________________________________

Mobile ________________________________

E-mail _____________________________________________

Total no of people in party __________ of whom _______ are children.

Names of others in party ___________________________________

___________________________________

Booking for Le Carroir/Les Lauriers (delete as required)

Dates required: from _________________ to ___________________

Total Rental as agreed by e-mail or phone ___________

Linen and towel hire @ 8 GBP (10 €) /pw per person ___________

End of let clean @ 30 GBP (40€) _______________

Total Cost ___________

If you have requested linen and towel hire, please indicate which beds are required:

Kingsize/Double Yes/No Single Yes/No Twin Yes/No (if yes 1/2 beds)

(Le Carroir/Les Lauriers)

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I have read, understand and accept the Conditions of Booking, and am either:

paying a deposit of 25% of the total cost _________and will pay the balance

due 8 wks before the arrival date. or:

am paying the full amount due _____________________ (+security deposit for

100GBP(150€))

Payments can be made by bank transfer or pay in to the

Halifax, Sort Code: 11-00-47, Account name: Mrs Moira Edwardson,

Account number: 00096618

BIC: HLFXGB21B68

IBAN: GB36HLFX11004700096618

Or Credit Agricole, 22 Place Wilson, 41110 St Aignan sur Cher

Account name: M ou Mme Edwardson, David

IBAN: FR76 1440 602310 77887988988 96

BIC: AG RIFR PP 844

or by cheque made payable to Moira Edwardson.

Signed __________________________________ Date ___________

We will confirm your holiday in writing on receipt of your deposit. Thank you for

making this booking and please do not hesitate to contact us if you have any further questions.

Mrs Moira Edwardson,

Crosby House, Milton Road, Oundle, Peterborough PE8 4AG, United Kingdom

01832 274405/277215