Booking Form:

To book, simply fill in this form and telephone Pam & David for further instructions.

Before filling in this form, please check availability by phoning or e-mailing:

Telephone: (France - 0033) 4 67 38 04 12
E-mail : pamjsteele@hotmail.com

Duration of Stay (check availability first)

Arriving on (dd/mm/yyyy) : / /
Departing on (dd/mm/yyyy) : / /

Personal Details

First Person

Title :
Surname :
First Name :
Address :
Postcode :
Tel :
Fax :
Email :

Second Person

Title :
Surname :
First Name :
Address :
Postcode :
Tel :
Fax :
Email :

Contact Person in The UK (Friend or Relative)

Title :
Surname :
First Name :
Tel :

Other Details

Special Dietary Requirements :
Allergies :

Payment Details (See Tariffs)

I enclose my non-refundable deposit of 25% - £
B&B: The balance to be paid in cash on the day of arrival in EUROS;

Self Catering: The balance to be paid min. 6 weeks before arrival.

Please make your cheque payable to "D. Steele". The full postal address will be given to you. See TARIFFS for more information.

Before sending this booking form, please contact Pam & David to check availability.

Acknowledgement of your booking will be made on receipt.

Please note we are strictly a "No Smoking" establishment.

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If you have any further enquiries or just want to book by telephone, please contact us.


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