Les Coquelicots

Booking Form

Please  complete this form and e.mail to us. Upon receipt of our confirmation of your booking please post your cheque 

for £100 for each booked week ( being a non - refundable booking deposit ) to us at :-

Le Puy Joulie, 19120 Queyssac les Vignes, France. 

 Balance plus a security deposit of £100 * to be paid in full  6 weeks before arrival.

Upon receipt of this form we will confirm your  booking and  advise you of  the date and amount  for full payment.

Name…………………………………………………..

  Address………………………………………….……..

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Post Code………………………………………………

Country………………………………………….……..

Tel.No……………………………………………….….

Email……………………………………………………

Dates required:  Saturday………………….until Saturday………………………….

 ( from 16:00hours)                       ( vacate by 10.00am )

No. of adults…………

No. of children……….

Cot/high chair required:  Yes/ No

 

 * £100  is required as a refundable security deposit against breakages/damage.

 After satisfactory final inspection and any deductions, this will be returned to your home address by £ cheque.