RESERVATIONS 2012
Domaine De Trebuchon

Please scan and email to : gilliangoucher88@yahoo.com or Post to :
Mrs G. Goucher, Chaffcutters Lodge, Brook Road, Dolton, Devon, EX19 8RE
 
Full Name: 

Address:

 

 

Which web site did you find us on ? ..................................................
Home Tel: Day Tel:
Fax: Email:
No of weeks required: Week Commencing :  
Number of Adults: No of Children:  

Names of party members - please give ages of children ( please note we must be informed in advance should you have any visitors to the property)
 

 
I am authorised to make this booking on behalf of my party. I am over 18 years of age.

I enclose a non refundable deposit of  £______being 60% of the total holiday cost made out to Mrs. G M. Goucher . I agree to pay the balance of £_______  , plus a returnable damage deposit of £200, 6 weeks before the start of the holiday. (If booking within 6 weeks of the holiday start date the full amount should be enclosed.) I understand it is a non smoking property.

Note: It is advisable to arrange insurance against cancellation of your holiday.
Signature: Date: