Le Moulin Rault
Booking Form

***Please print this form and mail it with your deposit to the address below***

Full name of party leader:
Address:
Home tel: Day tel:
BOOKING PERIOD DESIRED 
(1st choice) From: To:
(2nd choice) From: To:
(3rd choice) From: To:
Number in Party Adults: Children under 2: Children
2-18:
Please make all checks payable to: George Introzzi

25% Deposit - due at booking (non-refundable)
75% Balance - due 4-6 weeks prior to arrival (non-refundable
)
250/week Security/Breakage Deposit - due with balance (refundable)
---------------Additional Deposits below ONLY if applicable-------------
Extra
250/week Winter Deposit due with balance
(refundable)

Extra 250/week Deposit for Children due with balance (refundable)




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Signed: Date:         

NOTES
- All payments are due 6 weeks before the commencement of holiday date
- Rent is inclusive of gas, electricity and water within normal, seasonal usage levels

- Excessive water, bottled gas, and electrical usage will be charged to lessor

*** Please see the terms of our ***

Return this form with your deposit to: