Reserveringsformulier vakantiehuis Le Verger

Application form holiday home Le Verger
Personal Data
Name*

First NameMiddle NameLast Name
Personal ID*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Phone*

Country CodeArea CodePhone Number
E-mailadress*
Bank account details
Bank account no.*
International Bank Account Number
Account holder*
Full name related to the bank account number
Rental information
Arrival date*

DagMaandJaar
Departure date*

DagMaandJaar
Number of guests*
Everybody young and old, including babies
Of which children*
Persons aged under 18 years
Remarks
Terms & Conditions
Please read the terms & conditions for holiday home Le Verger so you are aware of what the rental agreement is about when you receive an offer. Your acknowledgement of reading the terms & conditions does not result in any obligations. Only when you recieve your personal rental agreement and choose to confirm the agreement by paying the deposit you accept and are bound to the terms & conditions.
Final questions
How did you find this holiday home?*
Do you wish to receive future promotions?*

YesNo
Thank you for completing this form. You may issue the form now. We strive to answer your request within 2 work days with a proposed rental agreement to be accepted at your sole discretion.
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Application form holiday home Le Verger