What to do next:
Print this form, fill it in and post to the address shown below. Or, if you prefer, scan the completed form and email it as a printable PDF file. Remember to sort out your deposit at the same time. Either make an internet bank transfer – we will provide details – or include a cheque made payable to Mrs JC Baskcomb (if £ sterling) or M & Mme Baskcomb (if Euros). We will confirm your holiday only when we have received both the completed Booking Form and deposit transfer or cheque.
Return to: Julian and Jude Baskcomb, Le Moulin de Boutineau, 37600, Perrusson, France. Or e-mail: jujubask@orange.fr
PLEASE USE CAPITALS
Full Name: |
__________________________________________________ |
Address: |
__________________________________________________ __________________________________________________ |
Home Tel: |
__________________________________________________ |
Day Tel: |
__________________________________________________ |
E-Mail: |
__________________________________________________ |
Fax: |
__________________________________________________ |
Name of cottage required: |
__________________________________________________ |
Number of weeks: |
______ |
Arrival Date: |
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Departure Date: |
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Number of Adults: |
______ |
Number of Children: |
______ |
Number of Anglers in party: |
______ |
Tackle hire required: |
Yes / No / Full Hire Package (Circle as appropriate) |
Bait required: |
Yes / No (Circle as appropriate) |
Housekeeping required at end: |
Yes / No (Circle as appropriate) |
Number requiring dinner on arrival night : |
______ |
Names of all 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 25% of the total holiday cost.
I agree to pay the balance of __________ plus a refundable damage deposit of __________ six weeks prior to the holiday start date by internet bank transfer. If booking less than six weeks prior to the holiday start date, the full amount should be paid by internet transfer.
Please note: It is most advisable to arrange insurance against cancellation of your holiday.
Signature: __________________________________________________
Date: __________________________________________________