Check availability by phone or e-mail before sending this form
together with your payment to :
Anne Marie JAUMAUD et Martin GUILLEMOT
7 rue des Figuiers 11370 LEUCATE FRANCE
 |
If you wish to pay by credit card, just ask us by e-mail
we will send you by e-mail a "paypal' invoice that you can pay on line on the secured paypal website
| LOS
LAUZERTS RESERVATION FORM |
| NAME | |
| ADDRESS | |
| POSTAL CODE | |
| CITY | |
| COUNTRY | |
| TELEPHONE | |
| FAX | |
| I'd like to make a reservation for GITE1 GITE 2 GITE 3 | |
| from saturday(16:00) to saturday(10:00) |
|
| number
of persons adults children |
|
| I enclose euros which is 25% of the total rental due |
|
|
I have read and do accept the terms
and conditions
|
|
| DATE |
SIGNATURE
|