MAISON DE L'EGLISE, St-FERRIOL, 11500, FRANCE
Tel: +33 (0) 468 20 11 42   E-mail: sophie@st-ferriol.info   Website www.st-ferriol.info

BOOKING FORM

Arrival date…………………………… Departure date…………………………………

Expected time of arrival……………….. Expected time of departure……………………..

Travel insurance: Company……………………….. Policy number………………………..

Please describe required travel information (eg. Rail, directions from Paris, or OK)

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Linen (including towels, duvets, sheets and pillows) is provided.

I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . wish to book the Maison de l'Eglise, 11500 St-Ferriol, France from and to the above dates. Please find enclosed a cheque for the rental period to confirm our reservation. I agree to abide by the terms and conditions set out above and declare that I am authorised by the person(s) named below to effect this reservation & accept liability/conditions on their behalf.

Address for all correspondence: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Signed . . . . . . . . . . . . . . . . . . . . . Date. . . . . . . . . . . . . . . . . . . . . . . e-mail. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tel: Home. . . . . . . . . . . . . . . . . . . . . . . . . . Tel: Work. . . . . . . . . . . . . . . . . . . . . . . . . . Tel: Mobile. . . . . . . . . . . . . . . . . . . . . .. . . .

Persons who will be staying in Apartment:
SURNAME, FORENAME, AGE (if under 18), NATIONALITY, PASSPORT NO.
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Please post to: Sophie Duncan, Le Village, Saint-Ferriol, 11500 Quillan, France
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For office use only		Meter reading on arrival	......................
Receipt sent	......................	Meter reading on departure	......................