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Thank you… we look forward to your visit!
Maison Le Jubeau Booking Form
Contact details for party leader:
Full name:
Postal address:
Telephone:
Daytime:
Evening:
E-mail address:
Dates  you require the property:
Number of weeks:
Beginning:
Saturday, _____(day)   ___________________(month), 200____
Ending:
Saturday,  _____(day)   ___________________(month), 200____
Details about your party:
Adults:
Names:
Children:
First names and ages of children under 16:
Pets:
How many, what kind:
Vehicles:
How many:
Bed/bath linen:
We will require bed/bath linen for ____ bedrooms
Comments:
Any special needs? How did you learn about us?
I confirm on behalf of all persons named on the above form that I have read and agreed to
the Booking Terms and Conditions, including agreement to absolve the owners of Maison
Le Jubeau from all liability arising in the event I cancel the booking without having taken
out adequate holiday insurance coverage.
Signature of party leader:
________________________________________________  Date: _____________________
Return this page to:
Helena Snow
Place d'Ostiches 4 
7804 Ostiches, Belgium
Fax: +32 68 64 53 07