La Grange du Moulin Booking Form
   
First Name
Surname
Primary Address

   
E-Mail
Mobile
Home Telephone
   
Accomodation required
  
 
Date of arrival
[4pm onwards]
 / /  
   
Date of Departure
[by 10am]		 / /  
   
Number of Adults

Number of Children (under 16)
 
 


Names of Adults and Names and Ages of Children

   
  Total Rental Deposit
 

Extras Required

Linen Hire (£8/pp)

Towel Hire (£6/pp)

End of stay Cleaning (£30 or £35 or £40)

   
Notes: eg. any other requirements or requests (eg. cot, highchair, etc.)
   
How did you find our website and or search terms used ?


I have read the Terms and Conditions and I accept them on behalf of all my party who will be staying in the property and on whose behalf  I am authorised to enter into this agreement. I have read all the information available regarding the property. I am over 18 years of age.

 

  Submission acts as Signature