Chez Lavande et Le Petit Paradis
Booking Form

5 Impasse Des Gloriettes, 34420, Villeneuve Les Beziers,
France.
+0033 04.67.32.85.40
enquiries@lavandeparadis.com
Your name...............................................................................................................

Address...................................................................................................................

...........................................................................................................................

...........................................................................................................................

Tel......................................................................................................................

Email..................................................................................................................

Date of arrival................................... Date of departure...................................

Number in party - adults.................... Children.................... Ages....................

Payment Schedule
AmountDate of Payment
Deposit 25% of total cost
with booking form.*
£..............................................
*If less than 8 weeks before arrival, total cost is due with the booking form.
Balance of total cost
8 weeks before arrival date.
£..............................................
Breakage deposit (Refundable**).£150..............................
**Please see terms and conditions.
TOTAL£..............................................
Please contact us if you have any questions or require help - many thanks!

Please make cheques payable to Susan Green.
Please return your completed booking forms to the address at the top of the form.
Declaration- I hereby take responsibility for my party and agree to all terms and conditions, which I have read and understood, relating to my rental.

SIGNED.................................................................. Date.........................