Reply to us by
e-mail or post to: Simon Martin, 130b
Radbourne Street, Derby DE22 3BU
Tel: 01332 265763 Mobile 07734971693 E-mail: simon@scm123.my-bulldog.com
YOUR DETAILS:
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Full Name
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Address (inc. Postcode) |
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Telephone Number and E-mail address |
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BOOKING PERIOD:
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Arrival date (from 6pm) |
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Depart date (by 10am) |
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PEOPLE IN YOUR
PARTY:
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Family Room with Double Bed & Single |
Name/Age |
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Double Bedroom |
Name/Age |
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Name/Age |
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Name/Age |
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Name/Age |
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Double Bedroom |
Name/Age |
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Family Room with Double Bed & adjoining room with
Single Bed |
Name/Age |
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Name/Age |
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Name/Age |
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Twin Room |
Name/Age |
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Name/Age |
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Name/Age |
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Single Room |
Name/Age |
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PAYMENT DETAILS:
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Rental cost |
£ |
Balance (payable 8
weeks before start date) |
£ |
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Deposit (minimum of
1/3) |
£ |
Balance due date |
£ |
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Security deposit (£100
for each week booked) |
£ |
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DEPOSIT: A one-third
deposit is required before a booking can be confirmed; it is non refundable.
You are advised to take out a Travel Insurance Policy, which may enable you to
recover non-refundable money.
PLEASE MAKE CHEQUES PAYABLE TO: SIMON MARTIN
AGREEMENT: I have read your terms and conditions and
accept them for all my party on whose behalf I am duly authorized to make this agreement. I am over 18 years of age.
Signature (or type name) & Date:
For our use only: We receipt this form and return it to you
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Deposit |
£ |
Date received |
|
Signed |
|
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Balance |
£ |
Date received |
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Signed |
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PLEASE NOTE: Part
of the Charm of La Sagesse is the fact that it is set in the extremely quiet
and relaxing village of Brouelles. In Rural France there is the “Law of
Silence” where loud noise is prohibited after 10:30pm. With this in mind please consider if this is
the right location for you and your party as persistent complaints may result
in the loss of part or all of your deposit.
Thank you for your understanding Simon & Giselle
Martin