We have made the bulk of this form compatible with Google Desktop Autofil  

Fields highlighted like this are compulsary


IS THIS FORM AN ENQUIRY OR A RESERVATION

 

Person authorised to make booking on behalf of Party.  I am over 18 years of age.

                     Full Name:         

Primary Address: line 1

                              line 2

                              line 3

     Village Town/City: 

                        Postcode:

                         Country:

      Telephone Number:     
                             email:

        Mobile Telephone:

Please enter below other members of your party. (Please note we can only accept as guests those people named on the form).

    

Note:  Please give the ages of children under 12. e.g Sam, 9.
This ensures that we can supply any cots, highchairs etc. and also helps to clarify the sleeping arrangements.
 

Choose Your Accommodation

Dates:  From To (For gite rentals, dates must be Saturday to Saturday, unless otherwise agreed)

Please tell us how you would like to pay 

 

If you have selected, "other", please specify        
Note. If you select Paypal we will send a separate invoice via email;  in the case of UK internet banking we will provide details of our UK bank  

Please tick box if you wish us to provide you with a cleaning sevices at the end of your rental.
(Le Sauvignon/Le Clos Charmeur are €60,00 and Le Chenin €30,00)

We would be grateful if you could tell us  where you found our gites, eg., our site, Chez Nous, Brittany Ferries (OIF) etc. 
  
If you have any comments and/or special requirements, then please give details
  
You accept our Terms and Conditions (This field is Required)   YESNO
  
We will hold all reservations for ten working days following receipt of the form pending the arrival of a cheque for the 25% deposit or notification of other payments 

Have you ticked the compulsory Terms and Conditions box?   .Home Page