Booking Form for 28 Rue des Remparts, TRAUSSE
Please complete sections 1 - 10 & keep a copy for yourself.

1. Name/s of couple or person booking _____________________________________________________

2.This house is only suitable for one person or a couple

3. My booking is for ______________ week/s

4. Start date from 3 pm on (date) ______________ 5. To before 11am on (date) _____________

6. Please advise us of your home departure date so that keys and directions/instructions
will be sent to your address in time.

7. The address for delivery of key and instructions:

___________________________________________________________________________

__________________________Phone No._________________Email. __________________

8. Any contact details in Europe near to the time of arrival in Trausse.______________________

___________________________________________________________________________________

WE DO NOT ACCEPT CREDIT CARD PAYMENT. Australian Dollar Cheques/Overseas Bank Draft to be made
out to: Steve & Marilyn Capper and posted to:  S &M Capper, P0 Box 609, Mosman, NSW 2088 Australia
For further details contact Marilyn on +61 2 9969 7442 or email Marilyn on mjcapper@hotmail.com

9. A cheque is enclosed for: (Please circle the applicable A, B or C as set out below and D or E)
A) 50% Deposit. Which is half of your time booked. e.g. One week will be $400, two weeks will be $800. $________B) Full payment. Which is all of your time booked______
+ Key Deposit_________
= Total _________________
 
$________
$100_____
$________
C) The Final Payment of $
  + Key deposit -----
  = Total----------------
  is due on ____________
$________
$100_____
$________
Per week or part thereof
D) 1 Person or 1 Couple
E) Heating
Bookings Nov thru Mar
$800
$100
  10. I understand the need to strictly adhere to the BOOKING CONDITIONS on this web site.

Signed and agreed by __________________________Date:___________________

Please keep a copy of this form for your own use.    Booking Conditions