reserveringsformulier

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Reservation Request Form

* These fields must be filled in

First name

Last name

Address 1

Address 2

ZIP code

City

Country

Telephone number

Fax number

Email address

Arrival Date
(select a Saturday)

For example 05/07/2010

Click here for planner

Departure Date
(select a Saturday)

Transportation

Member of INF

Remarks

How did you find our website?

* Only fill in these fields!
	Number	High season	Mid season	Low season	Total
T1p	*	� 210	� 245	� 280	�
T2p/Ca1p	*	� 240	� 280	� 320	�
T3p/Ca2p/Ch10	*	� 270	� 315	� 360	�
T4p/Ch2p	*	� 300	� 350	� 400	�
Ch3p	*	� 330	� 385	� 440	�
Dogs	*	� 20	� 23	� 26	�
Car + camping gaz		included	included	included
Click here to calculate total

You booked weeks in the high season	Total in EURO (discounts excluded)	�
You booked weeks in the mid season	Prepayment	�
You booked weeks in the low season	Booking fees	�
Total prepayment in �		�

I agree with the reservation conditions and tari�s.		* Type agree	Submission of this form is a request for a reservation and availability is not guaranteed.
	Click here to submit your reservation

We advise you to print this reservation request form. After receipt of your deposit we will send you a final confirmation.

Le Coteau de l'Herm
Shirley & Jaap Overdulve
Ld. Lacoste
F-24580 Rouffignac
France
GPS: 45,07095 N 0,97207 E

Tel: (+33) (0)553466777
Tel/Fax Nederland:
(+31) (0)30-2285433

Open/Ouvert: 15/5-16/9

Postadres Nederland
Le Coteau de l'Herm
Shirley & Jaap Overdulve
Obrechtlaan 22
3723 KC Bilthoven
E-mail: info@naturisme-dordogne.com

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