Full Name:

Address:

Home telephone:                                           Day Telephone:

Fax:                                                             Email:

No. of weeks/days required:

Arrival date:                                                  Departure date:

No. of adults:                                                No. of children:

Names of other party members:

Please give ages of children:

I am authorised to make this booking on behalf of my party. I am over 18 years of age.

I enclose a non-refundable deposit of £________________ being 20% of the booking fee of the total holiday cost. I agree to pay the balance of £_______________ plus a refundable damage deposit of 1200 euros, 8 weeks prior to arrival to the holiday start date. ( If booking less than 8 weeks prior to the holiday start date the full amount (including the refundable damage deposit)  should be enclosed.)

Note: It is advisable to arrange insurance against cancellation of your holiday.

Signature:                                                    Date:

Booked through the Chateau Joncasses web site.