KERCOTTAGES BOOKING FORM
Please use block capitals

Full Name:

Address:

Home Phone:

E-mail:

Cottage/s Requested:

Arrival Date:

No of Adults:

Departure Date:

No of Children:

Names of other
party members:

Cot: if available

High Chair: if available

Arrival Time: from 1600 hours

TOTAL RENTAL COST:

20% DEPOSIT: enclosed

BALANCE: due 8 weeks before rental starts

SECURITY DEPOSIT: £100 per cottage payable with the balance

The 20% deposit is required before a booking can be confirmed. It is non-refundable. You are advised to take out a Travel Insurance Policy with a cancellation clause which may enable you to recover non-refundable monies.  I have read your terms and conditions and accept them on behalf of all my party who will reside in the property.  I am over 18 years of age.

Date:

Where did you see our advert:

Signature:

PLEASE MAKE YOUR CHEQUES PAYABLE TO E.A.NELSON
Once you have checked availability with us please print this form and send it with your cheque to:
LIZ & TOM NELSON
KERVERNEL
56500 LA CHAPELLE NEUVE
FRANCE
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