La Landelle Booking Form
Please return to: Mrs Jo Stokes, La Landelle, Rue Landelle, Huisnes Sur Mer, 50170, Pontorson, France.
Full Name: 
Home Tel: Day Tel:
Fax: Email:
No of weeks required: Arrival date: Departure date:
Number of Adults: No of Children:  

Names of other 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 �162 of the total holiday cost. I agree to pay the balance of �_______  plus a returnable damage deposit of �162, 4 weeks before the start of the holiday. (If booking within 4 weeks of the holiday start date the full amount should be enclosed.)

Note: It is advisable to arrange insurance against cancellation of your holiday.

Signature: Date:
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