Le Clos Virgile - 34410 Sérignan-Plage - T. 04 67 32 20 64 - F. 04 67 32 05 42 - contact@leclosvirgile.fr
RENTING CONTRACT

Surname and first name :

Address :           
Post code :            Town :     Country :

Telephone N° :                Email :

NUMBER OF PEOPLE :                                 Dog(s) :     (Please supply evidence(s) of vaccinations)
                                                                                              Only 1 dog less than 10kg is allowed in the locatives
   NAME - First name - Date of birth
  
  
  
  
  
  
Vehicule :                  (brand and registration number)

CAMPING PITCH         For a maximum of 6 people (young children included)
I, hereby, would like to make a reservation for a pitch with electricity (6 AMPERES MAXI)    
         Tent :       Caravan :     Van :     Car :              cancellation insurance (9€) 
for the period from after 2pm to before 12 noon at the latest.
I, hereby, declare to have read terms and conditions and agree to abide by them.
I pay 125 € (or 134€ with cancellation insurance) : 100 € deposit + 25 € as booking fees (+9€ for cancellation insurance) to "SARL Le Clos Virgile".

RENTAL      For 3 people maximum in a Mobil-Home 2/3 pl. and 4 people maximum in a Mobil-Home 4 pl. (young children included)
                          For 4 adults maximum and 2 chidren less than 12 in a Mobil-Home 6 places
                          For 5 people maximum (young children included) in a Chalet
Electricity : 6 AMPERES MAXIMUM in any mobil-home or chalet.
I, hereby, would like to make a reservation for :
           a Mobil-home 2/3 places         a Mobil-home 4/6 places                 cancellation insurance (12€/renting week) 
           a Mobil-home 4 places            a Chalet Gitotel 5 places
for the period from after 4pm to until 10am for the latest.
I, hereby, declare to have read terms and conditions and agree to abide by them.
I pay 25% of the total charge + 25 € as booking fees (+ cancellation insurance) to "SARL Le Clos Virgile"..

YOUR PAYMENT :
                 Credit card : Visa, Eurocard ou Mastercard        
           
Credit card number :      Your credit card expiry date :

The rest of the charge should be payed 1 month before the arrival day

Place :   Date :
Please hand write "lu et approuvé" (read and approved) and sign .


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(According to the law "Informatique et libertés", these data are confidential and will not be transferred to any other party.)