RESERVATION FORM
For each reservation please key a new form

 

With a credit card your reservation is effective the same day, after we have validated it.
We'll reserve at the address mentioned below subject to availabilities.
You'll receive confirmation by mail.

Cancellation insurance (optional). Separate payment via cheque made payable to "PM Conseil Assurances", for 3% of the total price (excluding tourist tax).
> Read the coverage and print the subscription form to fill in and return to us.

 

Details
Name*
First name*
Address*
Postal code*
Town*
Country*
Phone
GSM (mobile)
Email*
List of those present	Name First name Date de nais. Name First name Date of birth. Name First name Date of birth. Name First name Date of birth. Name First name Date of birth. Name First name Date of birth.
For your reservation to be accepted, the list of people staying must be completed.
The stay
Day of arrival and departure is Saturday, please contact us for arrivals and departures on different days.
Type of renting	Mobil-Home O'Phéa 27 Mobil-Home O'Phéa 31 Mobil-Home O'Phéa 34 Mobil-home Adapté 31
Number of rentings
Number of people
Date of arrival	from 3.00 P.M
Date of departure	until 9.00 A.M ( Apart from Saturday, the departure may be delayed. Contact secretariat)
Price of the stay
Week or day from	to at €
Week or day from	to at €
Week or day from	to at €
Week or day from	to at €
Extra person 28 €/week	Number of people at € (In July-August the preise is for 4 person)
Animal 4 €/day	Number of pets Number of days at €
Total amount of	€
CHARGES NOT INCLUDED Tourist tax 0,30 € per day and per person (in 2015)
Payment of the deposits
The reservation becomes effective once the payment of 25% of the total amount received and confirmed. (the minimum amount for one night for stays of less than 4 nights) enclosed the amount of €
Credit card name	Visa Mastercard CB
Number
Expiry
Cryptograph	(last 3 digit numbers on the back of your credit card)
	You can also pay by cheque, transfer, money order printing this form and sending it to : MER SABLE SOLEIL, chemin du Mouret, Leucate Plage 11370 LEUCATE | Aude - Languedoc roussillon
	*required
I accept the terms and conditions
Comments
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