BOOKING FORM              LA PETITE GLYCINE & LES GLYCINES     www.les-glycines.net
Full Name
Full Postal Address


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ACCOMODATION (Please tick requirements & confirm availability with us before sending it)
La Petite Glycine (self-catering Gite – Sleeps  3-5 max):  Minimum rental – one week
April, May, June & September ₤395 per week (inclusive)    Plus ₤150  Security Deposit
July & August ₤495 per week (inclusive)    Plus ₤150  Security Deposit
Oct, Nov, Dec, Jan, Feb & March ₤325 per week (inclusive)    Plus ₤150  Security Deposit
Les Glycines (self-catering Ground floor only – Sleeps  6 max) Minimum rental – one week
July & August, Christmas & New Year ₤1,100 per week   Plus ₤500   Security Deposit
All other dates ₤950 per week   Plus ₤500   Security Deposit
Les Glycines (self-catering Farmhouse – Sleeps  8-10 max) Minimum rental – one week
July & August, Christmas & New Year ₤1,450 per week   Plus ₤500   Security Deposit
All other dates ₤1,200 per week   Plus ₤500   Security Deposit
Les Glycines  (self-catering Farmhouse) & La Petite Glycine (Sleeps 14 max) Minimum rental – one week
July & August, Christmas & New Year ₤1,900 per week  Plus ₤600   Security Deposit
All other dates ₤1,600 per week  Plus ₤600   Security Deposit
RENTAL PERIOD (Saturday to Saturday preferably)
Arrival Date (dd/mm/yy) Departure Date (dd/mm/yy)
Total Number in Party Adults Children + Ages

PAYMENT - (Please make cheques payable to Mrs D Kibble)
If it is more than 8 weeks before the booked rental period
commences, only the non-refundable Deposit of 25% of  
total rental booked is required to secure your 
booking and is payable immediately

Non-refundable Deposit
The balance of your rental plus the security deposit is
due eight weeks before the booked rental period starts

If it is less than 8 weeks before the booked rental 
Period commences, full  payment is due now

Rental
Security Deposit
Total Payable
ACCEPTANCE OF TERMS

I accept the Booking Terms & Conditions supplied with
This Booking Form on behalf of ALL members of my
party on whose behalf I am duly authorised to make this
agreement.  I also confirm that I am over 18 years of age.    
Signature:                                                   Date:

 Please return this form with your payment to:  

Debbie KIBBLE
Les Glycines
111 rue du Bigne
Ternanteuil
79410 ECHIRE     FRANCE          Rates