Booking Confirmation form



Following telephone or e-mail confirmation that your desired holiday period is available
please print this form, sign it and then post or fax it to me at the address/fax number provided

Please make all payments to Jane E A Hanslip.
Please provide the following contact information:

 
First name
Last name
Middle initial
Title
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
Mobile
FAX
E-mail

Which period do you wish to go on holiday?
-- dd/mm/yy to -- dd/mm/yy Number of days

How many people in your party ?
Adults Children Total Number in party

Preferred accommodation
No of people who will share
Double rooms required

Twin rooms required
No of people who prefer single rooms
What level of French are you ? .

Do you want to participate in the French morning language courses ? .

Are you travelling by own car/hire car and need directions?

If so when do you anticipate arriving ?________________

We will arrange airport or train transfers

Please provide us with your travel details:

Airport Airport Flight No. Arrival time
Airport Airport Flight No. Dept time
Train station Train No. Arrival time
Train station Train No. Dept time

If flight/travel details are not known at the time of booking please forward these details
as soon as you know, so we can arrange transfers.


How did you hear about us?


PRICE (£)

No. of people Price per person
Guests staying in double rooms
X
 =
Guests staying in single rooms
X
 =


TOTAL PRICE

=

DEPOSIT (one third due on reservation)
BALANCE (due three months before commencement of holiday)
TOTAL BALANCE

How many people require a vegetarian or special diet?

If you have any other special requests please indicate below:

I declare that I am over 18 years of age. On behalf of all the members of my party I confirm that I have read and accept the booking conditions and that I am responsible for paying the full holiday price.





Signed ....................................................................... Date...........................





Full Name in BLOCK Letters



....................................................................................................................................................
Please make all payments to Jane E A Hanslip.

Now PRINT this form, SIGN IT and first FAX it to 0033 5 53 23 96 10 and then POST it to me at

Le Bourdil Blanc 24520 Saint Sauveur de Bergerac France

Thank you.