PEY AU BRUC NORD

BOOKING FORM

TELEPHONE / FAX: 00 33 5 56 09 32 65 ( March to October)

MOBILE: 06 77 46 55 71 E-MAIL:

Website: www.medoc-holidays.com

NAME Title First Names Surname

ADDRESS

Postcode

TELEPHONE Daytime Evening

DATES YOU WISH TO RENT From / /20 To / /20

NUMBER IN PARTY

ARRIVAL TIME Estimated time and date of arrival at the property Date Time

PAYMENTS We need full payment of your rent settled six weeks before your holiday date. To secure the booking we require a 20 % deposit, this is not returnable. Cheques should be made payable to JANE BUTLER.

A security Deposit of pounds/euros is required, subject to there being no breakages, damage or outstanding payments this will be refunded in full about three weeks after your holiday.

RENT 20% reservation pounds/euros

REFUNDABLE SECURITY DEPOSIT pounds /euros

TOTAL pounds/euros

PAYMENT ENCLOSED pounds/euros

FINAL PAYMENT To be settled six weeks before your holiday pounds/euros

Plus pounds for end of stay cleaning and sheets and towels pounds/euros

DECLARATION

I declare that I am over 18 years old and agree with terms for rental of Pey au Bruc. I will pay the full amount owing six weeks before my agreed holiday date...... PLEASE SEE PAGE 2 FOR PAYMENT DETAILS

SIGNATURE OF CLIENT DATE

PAYMENT DETAILS:

You can pay in pounds or euros. (I google “Bloomberg currency exchange rates”

for the daily rate of pound to euro or other currencies). If the pound falls below the euro

(unlikely) I reserve the right to ask for payment in euros.

CHEQUES:

If you are sending a cheque to me at the Beachouse...can you make it out to

J. H. RENDALL (my maiden name).

CREDIT TRANSFER:

If you are doing a credit transfer....can you make it out to

J. H. BUTLER (my married name).

Bank Details for Credit Transfers: The Royal Bank of Scotland

Notting Hill Gate Branch

78, Notting Hill Gate

London W11 3HS

For the attention of Paul Johnson

Account in the name of Mrs. Jane H. Butler

Account no: 10036157

Sort Code: 16-00-82

Iban No: GB81RBOS160082/10036157

Iban Bic Code/Swift Code: RBOSGB2L

Can I ask clients for a narrative as a reference for my records ...i.e.. Put your name on the transfer...Thank you....

Please send all booking forms to: The Beachouse, 23, Avenue de la Brede,

33930, Vendays-Montalivet, Medoc, France