Michouat Booking Form

 

Michouat Booking Form

Please Print this form for Booking

Surname: ............................................................(Mr/Mrs/Miss/Ms)  Forenames: ...................................................

 

Address:.............................................................................................................................................................

 

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

 

Post Code: ............................  Tel No: ..................................................  E-mail: ............................................

 

Other Adults (18 years of age and over:

 

1) .................................................................................  2) ................................................................................  

 

3) .................................................................................

 

Children (under 18 years of age):

 

1) ................................................................. Age: ...........  2) ....................................................... Age: ...........  

 

3) ................................................................. Age: ............

 

Dates Required:  From: ....................................... To: .......................................

 

Rental Price Per Week                                                                   

 

Multiply by No. Of Weeks                                                                 

 

                                                                                                     

 

Less 25% Deposit                                                                           

 

Rental Balance                                                                                

 

Plus Security Deposit                                                                        

 

TOTAL BALANCE DUE                                                                   

 

Plus Linen Packs:  Number of people at £5 per pack per week             

 

TOTAL BALANCE DUE 8 WEEKS PRIOR TO DEPARTURE                

 

Please make cheques payable to MK & PI Harrison

 

Number of cars: ..........  Anticipated time of arrival: ......................

 

Holiday Insurance:  YES / NO

 

Are there any special needs for any members of your party? ..........................................................................

 

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

 

DECLARATION:

 

I have read the booking conditions as supplied and accept them on behalf of all my party.

I am over 18 years of age.

 

 

Signed: .................................................................................................. Date: .....................................................

Please complete and sign the form and send it with your payment to Mr & Mrs M Harrison, Michouat, Vidou 65220, France

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