Gite de Chapelier
11260 Esperaza, Aude
FRANCE

Tel:33 (0) 46 86 74 2249  
E-mail: andy@chambresdhotes.org
http://www.esperaza.net

BOOKING FORM

CETTE PAGE EN FRANCAIS

Full Name.....................................................................................................................................................................
Address.........................................................................................................................................................................
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Tel.................................................... Fax.................................................... E-mail.....................................................

Dates Required............................................................................................................................................................

Gite
Requested.....................................................................................................................................................................

No. OF PEOPLE: Adults....................... Children....................... Children's Ages..........................................

Names of Others in Party........................................................................................................................................
...........................................................................................................................................................................................
...........................................................................................................................................................................................

TOTAL COST OF RENTAL:____________ euros
25% deposit:____________ euros (Enclosed)
Balance: ____________ euros
(Payable 8 wks before rental commences) 

Payment
Method............................................................................................................................................................................

I have read and understood your terms and conditions and accept them on behalf of all my party who will reside in the property, on whose behalf I am duly authorised to make this agreement. I am over 18 years of age.

Date:Signed:


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