# Casetta del Brinco

 

A pdf version of this form is also available.
(This may be easier to print)

Booking Form

Party leader details
Title
First Name
Surname
Home Tel
Mobile
Fax No
Email
Address
Post code/ZIP
Country
Have you booked with us before?
Party details
Adults
2
3
4
5
6
Children
1
2
3
4
5
 
Booking Dates
(Saturday PM to Saturday AM)
Arrival
Departure
Estimated Arrival Time
(After 4.00 pm)
Travel Plans
Air
Flight No.
Arrival Airport
Own Car
Hire Car
Train

Please send this form and a deposit for £200 per week or full amount if within 8 weeks of departure (Cheque payable to Mary M Bendig)

 

Please return this form to:
Dr. Mary M Bendig
12 Quai du Seujet
1201 Geneva
Switzerland

 
DECLARATION: I have read and understood the booking conditions and accept them and the prices quoted on behalf of the persons listed.
 

Signed ___________________________________________ Date _____________________________

 

© 2005