Before booking, please contact us to check availability!
Please print, complete, sign and post to

Peter Lyons, "Téoulés Bas", 47320 Bourran, France

  If you prefer to email us your booking form, a downloadable Word version of this form can be found here
You can complete this on your computer, save it, and then email it back to us as an attachment


All cheques payable to "P. Lyons" - Balance payable 8 weeks prior to arrival

Booking Form

Preferred Arrival Date

   Length of stay  1 week    2 wks  
  Longer Stay
(please detail)


Gender Title Surname Forename Date of Birth
Postal Address for correspondence  
Contact phone No.   Email :
Mobile phone no.  
Estimated Time of Arrival - (anytime after 4:00 p.m. please)

 Accommodation / Holiday Cost 


Declaration :
I declare that, after booking, I will ensure that I and all members of my party have adequate insurance for all eventualities (including medical and accident emergencies, cancellation, travel delays, etc.). On behalf of myself and my party I understand and accept that neither the property owners nor their employees  or representatives will have any liability in this regard. I undertake to pay 25% deposit now and the balance of the cost of my holiday 8 weeks before my/our arrival date. I am aware that if I wish to cancel more than 8 weeks before my arrival date I will lose my deposit and that, should I cancel less than 8 weeks before my arrival date, I will lose the total cost.  I understand that any cancellation must be made in writing. I understand that non-payment of the balance by the due date will also be taken as a formal notice of cancellation. I understand that my booking have to be cancelled by the property owners for any reason then I will receive a full refund (without deduction) and that the property owners will have no further liability. I undertake to abide by the no-smoking rules relating to 'Teoules Cottage' as published on the web-site. I declare that I have read and understood the owners' Terms & Conditions and confirm that I  agree to abide by them. Please accept my booking as detailed above.

I enclose a cheque for the deposit of £_________   (25% of the total - payable to "P. Lyons")*
I have made payment of the deposit by bank transfer as agreed in our communications*
* delete not applicable

Name ___________________________  Signed  ______________________  Date_________

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