Les Roches Booking Form Please use block capitals

Full Name:

 

Address:

 

Home Tel:

 

 Work Tel:

Fax:

 

 Email:
No. of weeks/ days required Arrival Date: Departure Date:

No. of Adults:

 No. of Children:
Names of other party members - please give ages of children
   
   
   
   
   
   

I am authorised to make this booking on behalf of my party. I am over 18 years of age.

I enclose a non refundable deposit of £______, being 25% of the holiday cost. I agree to pay the balance of £________, plus a returnable damage deposit of £250, 12 weeks before the start of the holiday. (If booking within 12 weeks of the holiday start date, the full amount should be enclosed).

I have read the booking conditions and on behalf of my party agree to comply with them.

Note: It is advisable to arrange insurance against cancellation of your holiday.

Signature:

 

 Date:

Return to: Michelle Cook, c/o 34 Squirrel's Chase, Fields End, Herts, HP1 2TL Tel: 00 33 55 32 33 724 Fax: 00 33 55 32 33 213