REQUEST OF RESERVATION « FOURBOYS HOUSE » Collemoine 21390 Vic sous Thil France SIRET : 520 779 224 00010 APE : 6820A

Between: Name:

M. JOUVELLIER Gérard « FOURBOYS HOUSE » Collemoine 21390 Vic sous Thil 03 80 64 49 21 ou 06 13 37 44 44 09 55 78 90 64 Named the owner

Address : Telephone: Fax : and the undersigned Name:

M. and/or Mrs :

Address : Telephone (residence/work) : Email : Named the tenant It was agreed of a seasonal rent in the conditions hereafter: Family structure: ___adult people, and ___children from 2 to 14 years old and __children of less than 2 years old. from :

to :

between 14h00 and 18h00 down payment:

between 8h00 and 11h00 balance: deposit

Duration of the seasonal rent: Price of the stay: Other services: + fixed price spares: + linen: + wood for chimney

30% = Paid it:

Before:

To pay from the arrival

The loads (water, electricity) are included in the amount of the rent. Are in supplement: - The visitor's tax, - The linen (cloths and towels) provided on request, - Wood for the chimney, - Heating. This hiring will be definitive if the owner receives at his address at least 2 weeks before the beginning of the stay: - The present demand of dated and signed reservation, - The down payment, settled in the choice by: • check (By banker's check for the residents abroad), • mandate(money order) • Transfer. Beyond this date, this proposal will be cancelled and the owner will use the apartment. A

, Le

Signature of the tenant

1