"Bienvenue" 
13 Coteau de la Chaussée 
La Chaussée 
37500 St. Germain-sur-Vienne 
France 
Please print this booking form, complete and return it, with your deposit, to:
Mrs. K. Coulson,
19 Orchard Way, Kemsing, Sevenoaks, Kent TN15 6QA
Please reserve for me/ us as follows:-
Dates (from)...............200..    (to)..................200..
Total number of people in party........................
Comprising: Adults..........Teenagers..........Children...........Babies.........
Enclosed: my deposit of:-
£80 per week (high season)         £.........
£50 per week (all other weeks)   £.........
Making a total deposit of:            £.........
which I/we understand will be refunded in full once you have received the keys back from me/us after the holiday and once confirmation has been received by you that there was no damage to the accommodation during my/our stay.
I/we understand that this deposit is NOT refundable in the event that I/we cancel this booking.
I/we hereby undertake to make good (or pay for the making good thereof) any damage caused to the premises by me/us during my/our stay.
Name.........................................
Address ....................................
..................................................
..................................................
Post Code .................
Telephone Number ................
Signature ....................................
Date ............................/..../200..
We'd appreciate it if you would kindly tell us how you heard of us.
Thank you.
.....................................................................................................
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