booking form

Total price in sterling £

Booking deposit - 25% of total

Reservation for period commencing

Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2012 2013 2014 2015

Number of weeks required

Weeks required 1 2 3 4 5 6 7 8

Guests (name and age)

Please note there must be at least one adult for every two people under 18

Select age 18 or over Age 6 to 10 Age 10 to 18

Select age 18 or over Age 6 to 10 Age 10 to 18

Select age 18 or over Age 6 to 10 Age 10 to 18

Select age 18 or over Age 6 to 10 Age 10 to 18

Select age 18 or over Age 6 to 10 Age 10 to 18

Name of adult responsible for booking

Telephone (Day)

Telephone (Evening)

Fax number

Email address

Address 1

Address 2

Town/City

County/Region

Postcode/Zip code

Country

Where did you hear about French Secrets?

(Please tick box)

Signature (sign after printing)

Date

Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2011 2012 2013 2014 2015

Privacy. Under no circumstances, except if required to do so under French or English Law, will your personal details be disclosed to any third party without your permission.

Please note: During the Peak Season, we can only accept bookings on a weekly basis (or multiples thereof), commencing on Saturday throughout the year.  Once you have indicated that you want to proceed with a booking after making a reservation enquiry, we will hold a provisional booking for you for seven days, in which time we must receive from you this completed form and your 25% deposit payment.  Bookings are accepted on a 'first come, first served' basis.

If  you have any query or are unclear about any aspect of your booking, please telephone or email us prior to sending this booking form.  Please print two copies of your completed form using your browser print button or the print button below.  Sign and date both copies and keep one for yourself and return the second the the address below together with your deposit monies.  If you would prefer to pay your deposit directly into our UK bank account, please telephone us for the details.  Please contact us for details of payee.

Send completed form to:

M et Mme P Holman

64 Lad Baroues

31800 LARCAN

France