Tel. No (area code first):
E-mail address (if you have one):
Port of arrival in France:
Approx time of arrival at Longueve:

Accommodation required (Please put 'X' in appropiate box)

	Cottage
	Caravan - Small
	Caravan - Large
	Rent-a-tent
	Camping

Number in group - Adults Children We do not accept any pets.
Date of arrival Date of departure

Where did you hear about us?

PLEASE NOTE THAT THIS IS A CONTRACT. Only the number of people stated on this form will be admitted uless by previous arrangement. Bookings by telephone will only be held for 10 days. If we do not receive your deposit and booking form in that time, we may take other bookings for that period.

I enclose a deposit of £100 (Cottage) or £50 (per Caravan) for each week booked and agree to pay the balance on arrival in €uro's. Rent-a-Tent fees to be paid, in full, in advance. (No deposit required for camping with own tent).
(Please make cheques payable to P Broad)

Signed                                                                        Date  

Print off this form, sign it, and send* to:
P & R Broad, Longueve, Colombiers du Plessis, 53120, France.
Telephone:  00 332 43 08 00 12   E-mail: peter.broad@aliceadsl.fr  GPS  N.48.23.667  W. 00.48.699
*Postage from the UK to the rest of the EU is at a special airmail rate and the use of UK 1st or 2nd class stamps do not apply, and will result in a delay during which any provisonal booking could be re-allocated.