Your Address: Street, City,
Country and Zip Code /
Votre Adresse: rue, ville, pays
et code postal
Your email address / Votre
adresse courrier électronique
Telephone / Téléphone
Fax / Télécopie
Number of people in the group
/ Nombre de personnes dans le
groupe
Dates requested
(day/month/year): Saturday -
Saturday /
Les dates (jour/mois/année): Du
samedi au samedi
Arrive:
Depart:
Other questions or comments /
Autres questions ou commentaires
Liability and Insurance / Assurances
All visitors are recommended
to arrange their own holiday
insurance, including medical
cover as required. The owners
can accept no responsibility for
accidents. The owners of the 'La
Plauderie' will not accept
any liability for any loss,
injury or damage of any nature
however sustained to or by any
person in the course of their
occupation of the property and
the land belonging adjacent
thereto as a result of the
occupation of that property or
any activity carried out in the
course of such occupation
however sustained, such activity
and occupation are carried out
at the individual's own risk.