self catering holiday homes in the Languedoc

Telephone Numbers
Title
Full name
Full Address
home
mobile
e-mail
How did you find us?
Booking Details
Arrival Airport
Estimated Time of Arrival
Number of Adults
Number of Children
Ages of Children
Cot
High Chair
Apartment name:
Date of arrival (dd/mm/yyyy):
Date of departure (dd/mm/yyyy):
Weekly rate:	€
Total for your holiday:	€
Deposit € (30%) paid
by bank transfer - please send details
by credit card via Paypal - please send details
by Eurocheque
Balance due by Cheque/Transfer or Credit card 6 weeks before your arrival date	€
I have read your terms and conditions and accept and agree to abide by them on behalf of all my party on whose part I am duly authorised to make this agreement. I am over 18 years of age.
Thank you for taking the time to complete this form. We will forward you detailed directions on how to find 'Au Pont Romain' or 'L'Olivette' on receipt of your final payment.