Address of property: -
Square Pauline, Boulevard Raymond Poincaré, 06160 Juan-les-Pins, France

Payments can be made either:
               direct in euros: we will send you details of our bank account so that you may make a                    direct transfer from your bank account to ours
                or you can send a euro cheque, made payable to "Andersen & Picque", to:
Anna Andersen, Andersen & Picque, villa n.16, 292 chemin de Valbosquet, 06600 Antibes, France.

Please print, complete this form by hand, scan it and then e-mail it to:
pwilcox@blueyonder.com

ADDRESS (including postcode)……………....…………………………………………..

…………………………………………………………………………………………

HOME TEL NO……..……………………… DAY TEL NO……………………….

MOBILE NO……………………………….. EMAIL ……………………………...

RENTAL PERIOD: ………………………………………………………………….

NUMBER OF PEOPLE IN YOUR PARTY:  ADULTS: ….   
                                                                     CHILDREN :……

TOTAL RENTAL COST                €………………… (excluding linen, towels and cleaning)
25% DEPOSIT                                €…………………
                                                          ------------------
BALANCE OF RENTAL                €…………………
SECURITY DEPOSIT                     € 500.00              (or £350.00 sent to our home)
                                                          ------------------
BALANCE PAYABLE                     €………………… 
To be paid four weeks before rental period commences.

N.B. The 25% deposit which is required before a booking can be confirmed is non-refundable. You are advised to take out a Travel Insurance Policy with a Cancellation Clause, which may enable you to recover non-refundable monies.

Are bed linen and towels required - 15€ per person? Yes ⊂⊃    No ⊂⊃
Is final cleaning required - 60€?       Yes ⊂⊃    No ⊂⊃

DATE ………………SIGNED ……………………………………………….
                                  PRINT NAME …………………………………………………