Confirmation Ferme de Réservation et de Paiement pour

BOOKING CONFIRMATION AND PAYMENT

To complete your reservation on a Claude Reynier Summer Workshop, complete and print this form
and then post, together with the payment, to the address shown below

PERSONAL DETAILS

Title

Miss

Mrs

Name

Address

Town/City

Post Code

Country

Telephone

e-mail

Profession

TRANSPORT & ACCOMMODATION

I will arrive by

Car

Train

Airplane

I do not need accommodation

I would like accommodation in

B&B

Half-Board

The room I would like is a

Double bedroom

Single bedroom

PERIOD AND PAYMENT

My artistic skills are

Beginner

Intermediate

Professional

I choose the period for my Workshop >

2008

Cost of Workshop Classes

300

€

Cost of accommodation + meals

€

Total cost of Summer Workshop

€

Deposit

€

The deposit, payable when confirming the resrvation, is
40% of the total cost of the Workshop & accommodation.

Balance

€

The balance of 60% is due 6 weeks before the Workshop starts.

DATE AND SIGNATURE

For any information please contact Claude Reynier at
Tel : 04 67 50 92 59 or by e-mail: info@claudereynier.com

I have read and accept the General Conditions for Reservations for the Summer Workshop
and confirm my reservation for the periods shown above.

Date

Signature

--------------------------------------------------

After completing this form click PRINT (or use the PRINT icon on your browser),
sign the form and post, together with your cheque to:

Claude Reynier, Les 4 Canaux, Villa Grillons, 34250 PALAVAS-LES-FLOTS, France