Grand Pré - Reservations Form
Please complete all parts of this form and send to:
Patrick and Carolien Pronk
Grand Pre, Riviere de Piquet, Roquecor 82150
Tarn et Garonne, France
Telephone/Fax: 0033 563 95 26 72
1) Personal information
Mr.      Mrs.      Ms.      Miss     
First name, Last name:   
Address:  
City:  Postal (zip) code:
Country:  
Telephone (day):(evening):
Fax:  

2) Names of all members in party:

First name:    Last name:    Age (if under 18)
         
         
         
         
         
         

3) Holiday accomodation and dates required.
Type accomodation      Arrival date    Departure date
Barn cottage          
Detached cottage          

4) Additional requests: Please indicate if needed
   Yes   No    
Bed linnen (€ 10 pp)            
Hand linnen (€ 5 pp)            
Cot (baby's crib) (no charge, limited availability)           (Baby's bed linnen NOT included)
Highchair (no charge, limited availability)            
Playpen (no charge, limited availability)            
Bicycle (no charge, limited availability)            
Fireplace wood            
End of stay Cleaning service (€ 35 per accommodation)            
Special offers             
            fill in above which special offer 

5) Security deposit: (€ 250)

6) I have read and understand the booking conditions.
Signature   Name:   Date: