Booking Form for Riding

	Miss Mrs Mr
Last Name
First Name
Date of birth
Occupation
Address
Zip Code	City
Country
Your e-mail
Phone Number	Fax
Height in meters
Weight in kg
Riding ability

I have noted your rates and the nature of your treks.
I book for a trek - a stay of days

from the

to the

At price Euros = A

Extra-board or single Euros = B

TOTAL COST (A + B ) Euros = C

For 30% of C deposit of Euros Euros

Balance to be paid 30 days at least before departure 70% of C Euros

In case of payment by credit card : print this booking form and send it by e-mail or fax : +33 (0)4 95 77 11 37

My card is a : ¤ Visa ¤ Mastercard

Card's owner name Forename :

Card's number Date of expiry : Security code :

In the event of my cancelling more than 90 days before hand : 10% of the "total cost" will be retained , less than 90 days : 30% ; less than 30 days : 100%

Cancelling insurance (optional - cost 3% - highly recommended for long periods - otherwise you'll be your own insurer) : see in your country or contact : www.cavalierassurance.fr - Tél : +33 (0)4 79 69 33 65 - Fax : +33 (0)4 79 69 33 65

N.B. In the event of circumstances beyond your control I note that you reserve the right to modify the itinerary without altering the length or essential nature of the trek or of the stay.

P.S.:A receipt is always provided with all payments sent.

Here you can add a message

Please, sign, print this booking form and send it by fax or e-mail (don't forget to note your credit card number and expiry date to confirm your booking.)

Our fax number : +33 (0)4 95 77 11 37

Place date

In any case signature (of the card's owner in case of payment by credit card) :