Please print and complete this form and return to:-
Mrs J Holman
Jackmans
Church End, Great Dunmow
Essex, CM6 2AF
England.
Tel: (01371) 873727
Booking Form
Name
Address
Phone number (day)
Phone number (evening)
E-mail address
Apartment you wish to rent
(delete as appropriate)
Garden apartment
Balcony apartment
Both
Number in party
Holiday dates
Deposit/payment enclosed
Do you accept our booking conditions?
Intended method of travel to "Le Rouquet"
How did you hear of "Le Rouquet"?