Do not write in this space

Pitch n°    …………….

RESERVATION FORM
(Camping Club - "les Roussilloux" - 24520 LAMONZIE MONTASTRUC) 

Surname :....................................................................... Number of adults       ………………
First name : ................................................................... Number of children under 4 years old  ………          
Address : ........................................................................Number of children between 4 and 12  ……
.........................................................................................Number of children over 12 ………
.........................................................................................Number of vehicles    ………
Country :……………………………...
Phone number : ………………..……     Dog     yes        no  
Date of arrival : ……………...….../20…...   Date of departure :…….…....…….../20……

MOBILE HOME
RENTAL ACCOMMODATION :  (arrival from 3 pm onwards, departure up until 12 pm)

  Super Mercure Famille (4/6 person) 
  Super Mercure Standard (4/6 person)
  Super Titania (6/8 person)

Deposit for account :                                   ......(30%)
Number of weeks.......................... X           …..
Booking fees :                                 +            26 €       
.....................................................Total :  ….…..........€

METHODS OF PAYMENT

  Postal order        Cheque      By transfer

I accept the rental terms and prices.

Place ………………..…. ,  Date …………….…....        read and approved          Client’s signature       


You will receive a written confirmation after having registered your reservation, giving our manager’s final agreement.


Return to :
CAP DORDOGNE – Lieudit : Le Bos - 24260 St chamassy.
Email contact@cap-dordogne.com – site web : http://www.cap-dordogne.com
 05 53 54 74 60 Port. : 06.25.99.92.56.