Domaine du Pémontier Farmhouse holiday accommodation in South West France

Booking Form

[* Please note that we have a 'No Children' policy, and there is no provision for babies. All guests must be 18+]

Compulsory fields are marked *
*First Name:   *Last Name:  
*Address 1:   Address 2:  
*Town/City:   County:  
*Post Code:   *Country:
*Home Tel:   *Work Tel:  
Mobile Tel:   Fax No:  
*Email Address:  
*Property Required:   La Vieille Grange     Le Pigeonnier
*Arrival Date:   *Departure Date:  
*Number in Party:   2nd Guest Name:  
3rd Guest Name:   4th Guest Name:  
5th Guest Name:   6th Guest Name:  
7th Guest Name:   8th Guest Name:  
Special Instructions:  

Please confirm the following by ticking the box on the left:
  • I am authorised to make this booking on behalf of my party.
  • I am over 18 years of age.
  • I understand that a deposit of £150 must be paid to secure the booking.
  • I agree to pay the booking deposit by online payment overleaf.
  • I understand the booking deposit will be set-off against rental due on the above property.
  • I have read and agree to comply with the booking conditions.
  • I have checked the above dates are available on the appropriate availability calendar (La Vieille Grange / Le Pigeonnier).