Booking Form | Holiday Apartments in France

Booking

Please fill in the form below and send it to us. We will then get back to you and confirm both price and availability before invoicing you for the deposit amount using PayPal.

Booking Enquiry Form
E-mail Address: *
Title *
Full Name *
Address *
Postcode *
Telephone Number *
Date of Arrival dd/mm/yy *
Date of Departure dd/mm/yy

Choice of Apartment *
Twin or large bed preference
Apartment 1 Bedroom 1 (electric beds)
Apartment 1 Bedroom 2
Apartment 2 Bedroom 1	Large Bed
Apartment 2 Bedroom 2

Holiday Duration *
Number of people *
Guide/Disability Assistance Dog
To help us improve L’Origine and information for guests, please answer the following questions.
Do you or anyone in your party have a spinal injury? *
Where did you hear about L’Origine? *

If you require check out before 8am please advise separately at least 2 weeks before arrival *	Read confirmation

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