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Adrienne Godfrey
47400, Lagruere

Balance payable 8 weeks prior to arrival

Booking Form

Postal Address Address 1 
Address 2 
Address 3 
Post Code 
Telephone No.
Mobile No.
Email Address
Estimate Arrival Time
(Any time after 4pm)
Arrival Date
Length of Stay

Details of all persons in your party

Title Surname Forename Age
if under 18

Declaration :

I declare that, after booking, I will ensure that I and all members of my party have adequate insurance for all eventualities (including medical and accident emergencies, cancellation, travel delays, etc.). On behalf of myself and my party I understand and accept that neither the property owners nor their employees  or representatives will have any liability in this regard. I undertake to pay 25% deposit now and the balance of the cost of my holiday 8 weeks before my/our arrival date. I am aware that if I wish to cancel more than 8 weeks before my arrival date I will lose my deposit and that, should I cancel less than 8 weeks before my arrival date, I will lose the total cost.  I understand that any cancellation must be made in writing. I understand that non-payment of the balance by the due date will also be taken as a formal notice of cancellation. I understand that should my booking have to be cancelled by the property owners for any reason then I will receive a full refund (without deduction) and that the property owners will have no further liability. I undertake to abide by the no-smoking and no-pet rules relating to 'la Maison Pijot' as published on the web-site. I declare that I have read and understood the owners' Terms & Conditions and confirm that I  agree to abide by them. Please accept my booking as detailed above.

An email will be sent to you showing the details you have entered in this form.