Au Chicot - Booking Form
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Print this form
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PLEASE USE BLOCK CAPITALS, and remember to include the cheque for your deposit unless you are arranging payment by means other than post
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| Full Name |
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| Address |
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| Post Code |
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| Telephone |
Day: |
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Mobile: |
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Eve: |
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email: |
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| Number of weeks required |
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Number of Adults (16 or over): |
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Number of Children (Under 16): |
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| Arrival Date |
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Departure Date |
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Names of all party members (Please give ages of children):
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| I enclose a non-refundable deposit, being 25% of
the total holiday cost |
£ |
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| I agree to pay the balance 8 weeks
prior to the start of the holiday |
£ |
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| I also agree to pay a refundable damage deposit
of £200 per week of holiday |
£ |
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| OR (If booking is within 8 weeks prior to the holiday start date) |
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| I enclose the full amount (including the refundable damage
deposit) |
£ |
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I am authorised to make this booking on behalf of all my party. I am over 18
years of age
I confirm that I have read and accept Au
Chicot terms and conditions
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Please return this form to:
Jane Bennett
School House
Ickleton Road
Elmdon
Essex CB11 4 LT
England |
Enter any special requests here (continue overleaf if needed) |
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