Property Name: La Mamine            BOOKING FORM

It is very important that an Availability Request is made before sending the Booking Form.
You can complete this Booking Form on screen but we will only accept a completed and signed Form sent to us by fax or post.
Please read the
Booking Conditions carefully before completing the Form and sending to:-

Paul Woodward , Box Cottage, West Challow
Wantage, Oxon, OX12 9TJ, England
Fax N°: +44 (0) 1235 765150


Property Name

Title Initials Name



Address Postcode

Tel N° Email

N° of people in the party

Holiday dates - From To


A deposit of 20% of the Total Rental is required at the time of Booking.
The Balance is due no later than 10 weeks before the start of the holiday and should include a separate cheque for the £200 (Euros280) refundable Breakage Deposit. We will accept payment for the Deposit and the Balance, by cheque, in either £ Sterling or Euros.
Cheques should be made payable to Paul Woodward and sent to the above address with this form.
If you are booking within 10 weeks of the start of the holiday the full payment is due at the time of Booking.
When we have received the completed Booking Form and Deposit we will email a confirmation of the Booking and of the Balance due.

I declare that I am over 18 years of age and agree that this booking is made in accordance with the Booking Conditions that I have read. I agree to be held responsible for the balance of the hire in accordance with the Booking Conditions.

Date Signature

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