Please print, complete & return to:
Loire Valley Cottages, 5 Church Street, Ellesmere, Shropshire, SY12 0HD
Your details
Name:
Address:
Postcode:
Telephone Number:
Email Address:
Mobile Number:
Number of Adults:
Number of Children over 2: Ages:
Number of Infants under 2:
Have you been to Chateau Vary before?
Where did you see our advert?( if internet please state which site)
Property Details
Dates of Rental:
Property Rented:
Price of Rental:
Payment Details:
25% deposit is required to secure the booking. This deposit is non refundable
Please make cheques payable to Loire Valley Cottages
I certify that I am authorised to make this booking and I have read the terms & conditions and sign this subject to those conditions.
Signature: Date:
