Domaine de Beaumont
Route de Florensac, 34300 Agde, France
BOOKING CONFIRMATION FORM
To complete the booking process, complete this form and either e-mail or fax to us
PERSONAL DETAILS      
Name
Address
Town
 
Post Code
Country
Telephone
e-mail
 
 
 
RENTAL DETAILS      
2 Bedroom
3 Bedroom
Number of infants
(under 3 years)
Number of children
(3-6 years)
Number of children
(7-12 years)
Number of adults
(13 years plus)
Arrival Date
 
Tick if Bed linen and towels required
 
Depart
   
Tick if Baby cot required
 
PAYMENT DETAILS      
ACCOMMODATION COSTS
Cost of villa for total period required
 
Calculate costs based on type of villa
x
number of weeks, less any discount
Deposit
 
Deposit, sent at time of booking,
at 30% of total cost of villa
Balance
 
Balance of 70% to be sent 90 days
before arrival date

Credit Card Type
Card holder's name
and address if different
from above
 
Card Number
Expiry Date

I have read and agree to the Terms and Conditions for Beaumont Holidays and wish to confirm a reservation for the holiday periods shown above.
When you have completed this form, click to print (or use your browser's print function), sign and fax to
Domaine de Beaumont at
+33 4 6739 1347
or click below to send
the form directly to us
Print your booking confirmation form for a holiday at Domaine de Beaumont near Agde south of France

If you have any queries please telephone or write to Ginny at Beaumont.
Tel / Fax +33 4 6739 1347, e-mail: info@beaumont-holidays.com

Date
Signature
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080301
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