Le Dragon Vert - You Dream Holiday Is here

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Telephone Number

Mobile Number

Email

Rental Details

Number of weeks Required

Arrival Date

MM / DD / YYYY

Departure Date

MM / DD / YYYY

Number of adults in party

Number of Children and age (Under the age of 16)

Payments & Deposits

Please refer to Terms and Conditions

For booking starting in more than 8 weeks:

I attach a cheque to cover the non-refundable deposit of £

I accept

This is 30% of the total holiday cost.

I attach a cheque for the refundable security bond of £

I accept

£250/week, against damage to house, pool and/or contents

I understand that the remaining balance (70%) of £

I accept

is payable 8 weeks prior to rental period

I agree that the remaining balance will be sent by:

For bookings starting within 8 weeks

I attach a cheque to cover the full payment of the holiday of £

I accept

I attach a cheque for the refundable security bond of £

I accept

£250/week, against damage to house, pool and/or contents.

I/We confirm on behalf of all members of my/our party that I/we have read, understood and agree to be bound by the stated Terms and Conditions and that my/our booking is made subject to those conditions and that I/we am/are over 18 years of age.

I ACCEPT

Todays date

MM / DD / YYYY

Please complete this Booking Form and send it with your payment (by cheque or bank transfer) to Mrs C Nicholson at
October Cottage, Rull Lane, Cullompton, Devon. EX15 1NQ, UK.
If you have any queries please do not hesitate to contact us. Call on: 01884 33356 or on 07799 715872
or email: nicholson.3wishes@virgin.net

Thank you.