Please use your browsers print button to print this page, complete the details and mail together with a deposit cheque (payable to Mr P C Allington) to:
Mr Allington, 64 Woodcote Road, Tettenhall, Wolverhampton WV6 8LG
Alternatively, you can pay directly in pounds sterling or euros via bank transfer or paypal. Please contact us should you wish to use this facility.
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Full Name and Address: |
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| Home Telephone No: | |
| Work/Mobile Telephone No: | |
| Email Address: | |
| Arrival date: | |
| Departure date: | |
| Number of adults in party: | |
| Number of children in party and ages: | |
| Special requirements (cot, high chair etc.) |
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L'Athena / Les Tournesols / The Wheatfields (delete as applicable) |
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| Rental Price: | £ |
| Deposit (20%): | £ |
| Damage Security (payable with deposit): | £100 |
| Balance to confirm booking: | £ |
| Balance due 8 weeks before arrival: | £ |
| Extras: | |
| Charge for towels @5€ per person: |
Payment in euros on arrival |
| Extra linen change (if required) @ 11€ double bed and 10.50€ single bed: |
Payment in euros on arrival |
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I HAVE READ AND AGREE TO YOUR TERMS AND CONDITIONS OF RENTAL |
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DATE: |
SIGNED: |