PLEIN AIR OIL PAINTING – CHARENTE MARITIME, FRANCE
WITH DAVID JOHNSON
16-22 SEPTEMBER 2019
Details of Person Nominated & Responsible for Booking
Name………………………………………………………………………….………………………………………………………………………
Address for Correspondence: ………………………………………..……………………………………………………………………..
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Home Tel No: ……………………………… Daytime Tel No:………………………..…………………..……………………………..
Mobile:………………………………………….
Email address:…………………………………………………………………………………………………………………………………….
Next of kin Tel No and Name:………………………………………………………………………………………………………………
REGISTRATION DETAILS – OTHER GUESTS
SURNAME CHRISTIAN NAME NATIONALITY AGE IF UNDER 18
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Twin Room ……….. Double Room ……………… Single occupancy room : …………………………………………….
Special Dietary Requests:…………………………………………………………………………………………………………………..
Dietary Allergies: ……………………………………………………………………………………………………………………………….
IMPORTANT MEDICAL INFO: ………………………………………………………………………………………………………….
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GUIDELINE PRICE: £1,125.00 per person (painter)
£965.00 per person (non painter)
£105.00 single room supplement
Deposit £250.00 per person per week
NO OF PERSONS TOTAL AMOUNT TRANSFERRED
(please use your surname as the bank reference)
…………………… £ ……………………….
I confirm that I am authorised to make this booking for all the persons detailed herein & that I/we accept the Company’s Terms & Conditions on page 2 of this form. All payments are payable to THE FRENCH COUNTRY HOUSE LIMITED
Credit card payments are accepted from non-EEA residents but incur an additional 3{379dc6b34d4f8ffa30dd2169bfc67eadf0108dfdd134ff056c4824ff6608e7ef} merchant’s fee.
Debit card payments area accepted from UK residents.
Sterling bank transfers: Account No.
Please use your surname as the bank reference.
US dollar bank transfers: Account No.
Please use your surname as the bank reference.
DECLARATION
I/we declare that I/we have read and agree to the terms and conditions detailed on page 2 of this form.
I declare that I/we understand that a deposit of £250 per guest per week is payable at the booking stage.
I declare that I/we understand that the balance must be paid 8 weeks prior to the commencement of the course.
I/we understand that reservations made within 8 weeks of the start of the holiday – the full amount must be paid.
Signature :…………………………………………… Date: ……………………..
THE FRENCH COUNTRY HOUSE LIMITED
9 RUE DES FONTAINES
SAINT-ROMAIN-DE-BENET
17600
FRANCE