Les Capucines Booking Form

Full Name and Address:

Home Telephone:

Office Telephone:

Mobile Number:

Email:

Holiday Property:

Arrival Date:

Number in Party:

Departure Date:

Adults (Names):

Children (Names/ages):

Total Rental:

£__________

Deposit (20% Enclosed):

£__________

Rental Balance (due 8 weeks before arrival):

£__________

I HAVE READ AND AGREE TO YOUR TERMS AND CONDITIONS OF RENTAL

Date:

Signed:

Please print this form and forward to:
Karen & Paul Johnston
Les Capucines
2 Impasse des Douves
La Pilette
17430 Moragne
FRANCE

PLEASE MAKE ALL CHEQUES PAYABLE TO MRS K JOHNSTON