The Old Walnut Farm                   Booking Form Chassaignes Dordogne, France   *IMPORTANT!  IF NOT ALREADY DONE SO - PLEASE CONTACT JAYNE OR MICK TO CONFIRM AVAILABILITY OF YOUR CHOICE OF GΞTE & DATES BEFORE RETURNING THIS FORM 1. Surname (lead member of party):     Forename: ..     Address:                                                          Post Code: .. 2. Gite selected:    Valentin: . (tick as appropriate*)      3. Dates:    From .                             Tulipe: .                                                          To 4. Number in party:                      Adults                                                    Children .                                                              If cots required please state number: . 5. Towels required (hand & bath only):     Yes .                   No .                (tick as appropriate) 6. Special Requirements: ..     .. 7. I enclose a deposit of £200 (make cheque payable to Mr MJ Huckerby) to secure my holiday let with the balance     due 8 weeks before the start of the holiday.              signature ................................................................... date ......................................     Your deposit and this booking form should be sent to :-    Jayne and Michael Huckerby,                                                                                            Chez Tulipe,                                                                                            Chassaignes,                                                                                            24600 Riberac,                                                                                            Dordogne, France.