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Where the course
takes place

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Directions

Booking Form

Please Print out and complete this booking form and return to:
La Bourdique 12550 Martrin, France

Your booking will be confirmed on receipt of a non-refundable booking deposit for half the cost of the holiday.

Cheques, drawn on a UK bank account should be made out to Sharon Colback. Pay-in details to a U.K. bank account will be sent under separate email.
N.B. The balance is due six weeks before the holiday begins.

Date when course is to begin:………………….

Names, in full, of all members of the party:
1………………………………………………………
2………………………………………………………
3………………………………………………………
4………………………………………………………
5………………………………………………………
6………………………………………………………

Name and address of party leader to whom correspondence should be addressed.

Name:……………………………………………….

Address:…………………………………………….
……………………………………………………….
……………………………………………………….

Please provide name of relative or friend to be contacted in case of emergency during your holiday.

Name:……………………………………………….

Telephone:………………………………………….

I agree on behalf of my party to accept the booking conditions of La Bourdique.

Signature:....................................................... Date:..................................

Additional Information
Special dietary requirements, ie vegetarian or other.

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