La Grange du Moulin Booking Form
   
First Name
Surname
Primary Address

   
E-Mail (NOT a yahoo address)
Mobile
Home Telephone
   
Accomodation required
 
 
Date of arrival
[4pm onwards]
/ /  
   
Date of Departure
[by 10am]
/ /  
   
Number of Adults

Number of Children (under 16)

 
 


Names of Adults and Names and Ages of Children

   
  Total Rental Deposit
 

Extras Required

Personal Towel Hire (£8/pp)

Pool Towel Hire (£8/pp)

End of stay Cleaning (£35 or £50 peche)

   
Notes /requests
   
search terms used ?


I have read the Terms and Conditions and I accept them on behalf of all my party who will be staying in the property and on whose behalf  I am authorised to enter into this agreement. I have read all the information available regarding the property. I am over 18 years of age.

 

  Submission acts as Signature