Name ......................................................................
Address..................................................................
...............................................................................
Post Code ............................
Telephone ..........................................
La Rouillardais
Booking Form
Date of Arrival ..............................
Date of Departure .........................
Total No. of Nights .............
Type of Accommodation required:
(Please tick)
Holiday Cottage rental
Bed & Breakfast
Number of persons .........
Do you require a cot ........
Please advise if you have any special needs:
.............................................................................................................................
Please enclose a deposit of £10 per night for B & B
or
£70 per week for Holiday cottage rental.
Cheques made payable to : L & D Dealtry
Please return this form plus deposit within 7 days to:
L & D Dealtry
La Rouillardais
53380 Juvigné
France
Telephone: 0033 (0) 243023516