Before booking, please contact us to check availability!

Please print, complete, sign, enclose your deposit ( 25% of the total cost )  and post to

Iris Hearson
Pijot
47400, Lagruere
France
 

All cheques payable to "I. Hearson" - Balance payable 8 weeks prior to arrival
 


Booking Form
 

Preferred Arrival Date

   Length of stay  1 week    2 wks  
  Longer Stay
(please detail)
 
Room configuration required Double room/s Twin Room = Twin or bunk?
   

Details of all persons in your party

Gender Title Surname Forename Date of Birth Passport Number
       
       
       
       
       
       
       
       
Postal Address for correspondence  
Contact phone No.   Email :
Mobile phone no.  
Estimated Time of Arrival - (anytime after 4:00 p.m. please)
 

 Accommodation / Holiday Cost 

 £

Declaration :
I declare that, after booking, I will ensure that I and all members of my party have adequate insurance for all eventualities (including medical and accident emergencies, cancellation, travel delays, etc.). On behalf of myself and my party I understand and accept that neither the property owners nor their employees  or representatives will have any liability in this regard. I undertake to pay 25% deposit now and the balance of the cost of my holiday 8 weeks before my/our arrival date. I am aware that if I wish to cancel more than 8 weeks before my arrival date I will lose my deposit and that, should I cancel less than 8 weeks before my arrival date, I will lose the total cost.  I understand that any cancellation must be made in writing. I understand that non-payment of the balance by the due date will also be taken as a formal notice of cancellation. I understand that should my booking have to be cancelled by the property owners for any reason then I will receive a full refund (without deduction) and that the property owners will have no further liability. I undertake to abide by the no-smoking and no-pet rules relating to 'la Maison Pijot' as published on the web-site. I declare that I have read and understood the owners' Terms & Conditions and confirm that I  agree to abide by them. Please accept my booking as detailed above.

I enclose a cheque for the deposit of £_________   (25% of the total - payable to "I. Hearson")

Name ___________________________  Signed  ______________________  Date_________