Booking Form for La Bergerie, TRAUSSE
Please complete sections 1 - 10 & keep a copy for yourself.

1. Name/s of couple/family booking _________________________________________________________

This house is suitable for a family or three couples.

2. Names of extra person/couple to join you.__________________________________________________

3. My booking is for ______________ week/s

4. Start date from 3 pm on  __________________ 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 keys and instructions:_____________________________________________

___________________________________________________________________________

__________________________Phone No._________________Email. __________________

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

___________________________________________________________________________________

I understand the need to strictly adhere to the TERMS and CONDITIONS on the back of this form (if posted) or the BOOKING CONDiTiONS on this web site.
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, E, F, G or H)
A) 50% Deposit. Which is half of your time booked. e.g. One week will be $525 or with another couple $625. Two weeks will be $1050 or with another couple $1250. $________ 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) 1 Couple
F) 1 extra person
G) 2 extra people
H) Heating (November to March)

$1050
$1050
$100
$200
$100


10. Signed and agreed by __________________________Date:___________________

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