Name	_________________________________________________
Address	_________________________________________________
	_________________________________________________
Postcode	_________________________________________________
Tel	_________________________________________________
Email	_________________________________________________
Property & Dates required	_________________________________________________
Please list all members of your party with age if under 14	_________________________________________________
	_________________________________________________
	_________________________________________________
	_________________________________________________
	_________________________________________________
DECLARATION: I declare that I am over 18 and agree that this booking is made in accordance with the Conditions of Hire.
Signature	_________________________________________________
Print	_________________________________________________
Date	_________________________________________________
Checklist: Completed & signed Booking Form Read & signed Conditions of Hire Enclosed cheque for 20% of rental Retained one copy of Conditions of Hire Please return to: Mr & Mrs D. Sandwith, Haut Rigaleau, Massugas, 33790 Gironde, France.