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La Petite Auberge Booking Form (Please use block capitals) |
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Full Name:
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Address:
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Home Tel:
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Work Tel: |
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Fax:
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Email: |
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Property Required: |
Arrival Date: Departure Date: |
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Number
of Adults: |
Number of Children: |
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Names of other party members - please give ages of children |
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I am authorized to make this booking on behalf of my party. I am over 18 years of age. I agree to pay the
rental of …….......... Euros per week I have read the booking conditions and on behalf of my party agree to comply with them.
Signed: ........................................ Date:................................. |
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Please return the form
to Chris & Marion Blake, La
Petite Auberge, 24500, Tel: 00 33 55 3 24 69 27 Fax: 00 33 55 3 61 02 63 |
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