Reservation Request Form
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Surname: ____________________________________________________________ First Name: __________________________________________________________ Address: _____________________________________________________________ Town: _______________________________________________________________ Post Code: _______________ Tel: ________________________________ Email: _______________________________________________________ I wish to reserve: Gite______ Chalet______Mobile-Home_____ A Pitch: _______ with electricity 10 amp Yes / No For: Caravan: _______ Motor-Home: _______ RV: _______ Trailer and car: _______ Dimensions: ______________ m x ______________ m Date of arrival : ______/______/______ Day ____________________ Date of departure : ______/______/______ Day ____________________ Number of nights : _____________ Number of adults : _____________ We do not accept group bookings of the same gender 25 years or under. Dog(s) ________ Breed: ______________________(camping only and must always be on a lead). Deposit is 25% of the total amount of your holiday plus 15 €uros reservation & membership charge. Deposit 25% _____________ +15 €uros / Total sent _____________€uros Credit Card No: ___________________________________ Expiry Date: ___________________________ 3 Digit Code: _________________ Bank Transfer: See How to Make a Booking. Camping: Balance to be paid on arrival. Accommodation rental: Please see Accommodation Conditions I have read and accept the Rules and Regulations.
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