Booking Form

Name......................................................

Address...................................................

..........................................................

Telephone.................................................

E-mail.....................................................

Names of other guests.....................................

Accommodation:
Single..........	Twin/Double..........
Total Places Required................
Preferred Dates:	..........(1st Choice)
	..........(2nd Choice)

I/We enclose the sum of £..........

Please make the cheque payable to S. Peters.

I have read and agree to the booking terms and conditions.

Signed..................................Date..............

Print Name................................................

When booking please advise us about any special dietary requirements.

Suzie and Jamie Peters
Le Grande Barbe
32230 Semboués
S.W. FRANCE