If you have any questions about the form, or if you would rather give us your details over the phone, then please feel free to get in touch.
 

Name:
Email address:
Address:
Town:
County:
Country:
Postcode:
Daytime telephone:
Evening telephone:
Mobile telephone:

Name:	Age (if under 18):
Total number in party:		(max. 4 plus 1 baby)

Arrival date:
Departure date:

Currency:	£ Sterling € euro
Amount:
This payment is for:	Deposit Full Payment Balance
Payment method:	Cheque Bank Transfer Please make cheques made payable to Mrs. M. Hindhaugh

How did you hear about us:	Google Other Search Engine Gitelink France Link on Web Site Friend's Recommendation Returning Customer Other
Any other comments:

We would appreciate it if you could provide us with an emergency contact name and telephone number (other than yours) to call should we lose contact with you either before or during your stay.
 

Name:
Telephone number:

When you are sure that all of the details are correct click the "Send Details" button below.

Please be aware that clicking the "SUBMIT" button you are declaring that you are over 18 years of age and that you are authorised to book the rental accommodation on behalf of all of the named persons who will occupy the property.

Please also bear in mind that a reservation is a legal contract and that by sending this form you are agreeing to our terms and conditions.

I have read and understand the terms and conditions