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
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
---------------------------------------
080301
web design © newton-smith associates
www.newton-smith.com
Domaine de Beaumont | Home Page |