Your Details

Name                 

Address            

Address (line 2)

City                    

Postal/Zip code 

Email                  

Tel (home)         

Tel (work)         

Tel (mobile/cell)     


Group Details

Please fill in the form below with the names of everyone going on the holiday. This needs to be completed for insurance purposes.

           

                 

                 

                 

                 

                 

                 

           

           

                 


Accommodation

Property ref number                                   

Date from                                                    

Date to                                                        

Length of stay (nights)                               

No. of adults                                                

No. of children (under 12 years of age)     

Please specify ages of children                 

Special requirements                                  
(Catering, disabled access, activities etc.)


Payment

Payment method                                         
(Bank transfer, cheque, credit card)

Amount of deposit                                      
(Please specify euros, sterling or dollars)

Total amount owed                                     
(Please specify euros, sterling or dollars)


I have read, understood and agree to the terms of Simply Chateau (part of The Chateau & Villa Company Ltd). By ticking the box you agree to the terms outlined in our terms page.