BOOKING
FORM
(Use capital letters only) To be filled in and returned to : LCFL, lieu-dit "La Croix Fleurie des Landes" -
17310 Saint Pierre d'Oléron
Tel : 05 46 76 57 35 - Port : 06 83 57 39 68
E-mail : la-croix-fleurie-des-landes@wanadoo.fr
RC : 421 93 3011 000 23
Surname
and first name :
Address
:
Tel
home :
Tel
work:
Fax:
Email:
Choice
of gîte :
LYS
TULIPES
ARÔMESMIMOSAS
Date
arrival : Lys/Friday-Tulipes & Arômes/Thuesday-Mimosas/wednesday
Date
departure : Lys/Friday-Tulipes & Arômes/Thuesday-MimosasWednesday
Number
of weeks : Number of adults : Number
of children :
Name
of other tenants and children’s age
I
am authorised by the other tenants of the gîte to
do this booking. I declare that I am over 18 years old.
Price of the rental
euros + expenses.
Please
find enclosed a deposit of
25% of the total amount of the rent + 20 € for
expenses of file
I agree to pay the full amount of
euros + 30 €
disinfection medical, 5 weeks before the beginning of the stay as well
as a security deposit of 250€ which will be sent
back by post by the landlord.
Departure : possible for Lady-cleaning Lys 60€-Tulip/Arômes 70€-Mimosas 80€
Note : tenants are advised to take an insurance in the
event of a last minute cancellation.
Signature:
Date:
Means
of payment :
For non-French citizens, by international postal order only (transfer 20€
fees to be paid for by the tenant).