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 (25% Enclosed):   £__________
  Rental Balance (due 8 weeks before arrival):   £__________
       
  Where did you hear about Les Capucines?    
  Search engine    Holiday Rentals (HomeAway)    Owners Direct   Chez Nous
  Other – please specify
       
 
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