Please fill in the form and send it to us by e-mail
The booking only becomes final after receipt of your deposit
(20 % of the rent + booking expenses)
and with our written confirmation.

LE MAS DU PADRE
4, Chemin du Mas du Padre
34540 BALARUC-LES-BAINS - France
Campsite 3 stars tourism for 116 pitches
Prefecture decree n°97-l-3030 of 13/11/1997
Phone : 00 33 4 67 48 53 41
Fax : 00 33 4 67 48 08 94
info@mas-du-padre.com

SARL au capital de 40.000 €  - RCS SETE - Siret : 409.029.022.00012 - APE 552 C

Name & First name:
Address:
Postal code & City:
Country:
Phone :
E-mail :

Birth date:
Birthplace:
Profession:

I have taken note of and I accept the renting conditions

I have taken note of and I accept the tariffs (camping pitches or rentings)

and I undertake to stay according to these conditions and tariffs during the period:

Arrival date:

Departure date:

A Camping pitch:       Small - Petit   Medium - Moyen   Large - Familial   Double	TARIFF
A bungalow tent (BTM 4 places)
A Mobile Home :       16 m² without sanitary fittings (MH 16 m² ss sanit)       21 m² with sanitary fittings (MH 21 m² av sanit)

FULL LIST OF OTHER CAMPERS

Name and First name	Birth date	Tariff

Vehicle registration Nr.	Brand	Mark	Colour	Tariff

OTHER FACILITIES: domestic animal (quote name, race, and enclose certificate of tattoo and vaccination against rabies), electricity, fridge, others...	NUMBER	TARIFF

Special preferences

Imperative details about your equipment for correct pitch allocation Caravan   Trailer caravan    Tent    Camper
Length	External dimension including draw-hook	Width (incl. Awning)	Height (for camper)

Consequently, the undersigned returns the booking form with a deposit of:

T	Rent according tariff (add above mentioned tariffs) **
D	Duration of stay
M	Amount of rent = T x D
A	Deposit = 20 % of M
RE	Booking expenses
AA	Optional cancellation insurance 3% of M sum with € 10,- minimum
V	Amount of enclosed payment = A + RE + AA

** Excluding Tourist Tax (taxe de séjour) 0.34 € / day / person of 13 years and older
in 2006, which will be invoiced separately.

	Visa
	Mastercard
	International bank transfer in favor of:    CHEQUES POSTAUX DE MONTPELLIER    PLACE RONDELET    34900 MONTPELLIER CEDEX    FRANCE    IBAN : FR 08 20041 01009 0606402D030 86 - BIC : PSSTFRPPMON
	International post office order

Place         Date

Notes

Read and approved

imperative