Surname:________________________________________________________
First Name: _____________________________________________________
Addresse:_______________________________________________________________________________________
Town:__________________________________________________________________________________________
Post Code:_______________
Tel: ________________________________ email:_______________________________________________________
Profession:____________________________________________________

I wish to reserve :

Gîte______ Chalet______Mobile-Home_____

A Pitch_______ with electricity 10 amp Yes / No for
Caravan ______ Camping-car _______ Tent _______
Trailer Tent _______ Dimensions: ______________ m x ______________ m

Date of arrival :      ______/______/______ Day ____________________
Date of departure : ______/______/______ Day ____________________
Number of nights       : _____________
Number of adults       : _____________
Adults 16 / 20 yrs.     : _____________  Accompanied by Parent or Guardian.

We do not accept group bookings of the same gender 25 years or under.


Dog(s) ________ (camping only and must always be on a lead).

Deposit is 25% of the total amount of your holiday plus 10 €uros booking charge.

Deposit 25% _____________ +10 €uros / Total sent _____________€uros

Credit Card No: ___________________________________________________________________________

Exp Date           ___________________________________________________________________________

3 Digit Code      ______________________________

Bank Transfer    Please contact us for details.

Camping: Balance to be paid on arrival
Rentals : Please see Rental Conditions

I have read and agree to all the Booking Conditions

Signed :________________________________________________ Date__________________________