Name & first name : ......
Address : ...... …………………
......
Telephone : ...... @ : ......
BOOKING OF A PITCH
DATE OF ARRIVAL : ...... (before 12 a.m.)
DATE OF DEPARTURE : ...... (after 12 p.m.)
PRICE FOR THE STAY :
*in April, Mai, June and September
** in July and August
- ...... basic rate x 14,40 €*/17,40 €** x ...... nights= ...... €
- ...... riverside or XL in JulyAugust x 4,00 €** x ...... nights= ...... €
- ...... extra person (13 y. and +) x 4,00 €*/5,00 €** x ...... nights= ...... €
- ...... extra child (2 to 12 years) x 3,00 €* / 4,00 €** x ...... nights= ...... €
- ...... animal x 2,00 €*/3,50 €** x ...... nights= ...... €
- ...... extra tent in July & August x 1,50 €** x ...... nights= ...... €
- ...... electr.* (3A, 6A or 10A) x 2,50 / 3,50 /4,50 € x ...... nights= ...... €
- ...... electr.** (3A, 6A or 10A) x 3,00 / 4,30 / 6,50 € x ...... nights= ...... €
- ...... rental fridge x 2,50 €*/5,00 €** x ...... nights= ...... €
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- total costof the stay= ...... €
The tourist tax of 0,20 € a day per person (18 years and up) is not included
and will be due at your arrival.
- 40% of the estimate= ...... €
- booking cost (july/august) + 15,00 €**
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- down payment= ...... €
OVisa-/Master Card number : ......
Expiry date : . . / . .
Three-digit code on the back of the card : . . .
Or
OBy transfer on our following bank account (after our agreement) :
Banque Chaix in Vaison-la-Romaine
IBAN: FR76 1017 8000 1900 1910 1900 811
BIC : CCBPFRPPCHX
The statement below has to be ticked to validate the reservation :
OI hereby certify to have read and accept the terms and conditions of reservation