Reservation form
I am over 18 years old and I am authorised to make this booking on behalf of my party.
 
I have read and agree to the booking and rental conditions.
 
I enclose a deposit of                euros wich equals 25% of the total rental cost.
 
I agree to pay the balance of                 euros, the safety deposit of 600 euros, the basic maintenance and cleaning costs of 100 euros two months before the start of the rental period.
 
Please send the money on the following bank account :
 
IBAN n° : BE 93 001233158067
SWIFT : GEBABEBB
 
Bank address : Fortis bank Kraainem
Avenue des Anciens combatants, 11
1950 Kraainem BELGIUM
 
Client address : Mr and Mrs J-L Compère
15, avenue des Hirondelles
1950 Kraainem
BELGIUM
 
 
Full Name
Number of persons and name :
Street
City
Zip Code
Country
(Hours)
Tel (home)
 
Fax
E-Mail
Bank Account and bank address
Number of towel sets required
Number of weeks
Starting date (dd/mm/yy)
End date (dd/mm/yy)
(5 euros per set)
after 5PM
before 10AM
1.
2.
3.
4.
5.
6.
7.
8.
If this form doesn't work you can download it as a Word-document. Please complete and e-mail to info@holidayhome-provence-france.com or fax to +32 2 7255921
 
 
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