RESERVATION REQUEST
The tenant stays in the rental
Madam Sir
Civility :
Name
First name
Your adress
Your postal code
Your town
Your country
Your E-mail
Your mobile phone
Number of people 18 years old and over
Number of people between 18 and 2 years old
Number of people under 2 years old
(not taken into account for the capacity of reception)
NB: the capacity is 8 people maximum, supplement of 10 € per day beyond 7 people.
DATES AND SCHEDULES
The reception of the house is on the first day of rental between 18:00 and 19:00. 
The end-of-stay visit is from 10.30 am for a final key return at 11.00 am. 
End of stay cleaning is the responsibility of the tenant.
Desired date of arrival (dd/mm/yyyy)
Desired date of departure (dd/mm/yyyy)
TENANT'S CIVIL LIABILITY INSURANCE
The tenant is required to be insured with an insurance company known for the premises entrusted to him or rented. The persons participating in the stay must be duly covered by a liability insurance. The tenant agrees to provide a certificate of the said insurance at the request of the owner.
Name of the insurance company
Insurance policy number
INDIVIDUAL POLICE SHEET FOR FOREIGNERS
Obligation to fill in an individual police form. Article R611-42 - Modified by Decree No. 2016-1457 of October 28, 2016 - art. 35
Indicate the number of foreign nationals present during the stay. (from 0 to 9)
Message
Attachments
Accepted files:
 .png,.gif,.jpg,.jpeg,.doc,.docx,.xls,.xlsx,
.rtf, .txt,.pdf,.odg,.odt,.ods,.odf,.odp,.odb
Copy the code