Chez

Chez Rogers - Booking Form

 

To make a provisional booking please print and send this form to my address in Canada or forward to me via e-mail. Alternatively, you can let me have your outline requirements in an E-Mail.

Mr David S. Rogers' e-mail:-David S. Rogers tel. (001) 613 584-2815 at 26 Faraday Crescent, DEEP RIVER, ON., CANADA K0J 1P0

I will then reply by E-Mail to confirm the booking and to let you have our home address so that you can send me a copy of the signed booking form in the post together with your cheque for the deposit. Please note that, if the booking form and 25% deposit are not received within 15 days of my confirmation, the booking will lapse.

 

BOOKING FORM

 

To: Mr David S. Rogers

 

From (Name): ...............................................

 

Address: ............................................

 

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...................................................

 

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Tel No.: ......................(Home)... ........................(Work)

 

Number of guests: Adults.....................Children.....................

 

Date of intended arrival:......................... (after 3 pm)

 

Date of intended departure:......................(before 10 am)

 

I enclose $Can//Euros................being 25% of total rental of $Can//Euros................ (Payable to: Mr David S. Rogers.)

 

I/we understand that you accept no claims for personal injury and we are therefore responsible for insuring ourselves accordingly.

 

Signature:....................................................