On-line Booking Form

You can request a booking on line right now using the electronic form below. We will send you a confirmation e-mail within 24 hours that includes full details and instructions for paying the booking deposit. On-line bookings will be honored for a maximum of 10 days pending receipt of your deposit. All information you provide is kept completely confidential in accordance with our Privacy Policy .

Once we have received your deposit, we will send you a final confirmation and receipt, along with a copy of our terms and conditions , which you agree to honor.

If you prefer not to send your details over the Internet, or if you do not have an e-mail address (required in order to process the on-line form), please go to our HTML booking form , or download our PDF booking form. You can print either of these and send by post or fax (see the Contact page).

NOTE: All the fields marked "Required" must be filled in before the processing program will send us the information.

Booking Form
Party leader's full name:	(required)
Full postal address:	(required)
E-mail:	(required)
Daytime phone:	(required)
Evening phone:
Fax:
Names of all adults in your party:
Names and ages of children:
Date booking commences:	Day: Month: Year: All information is required, please!
How many weeks will you stay:	(required)
Special requests, comments:
How did you learn about Maison Le Jubeau?	Search engine: (which?) Advertisement: (where?) Referral by someone else Other
Declaration:	By sending this form, I state that on behalf of the person(s) named on this form, I have read and agreed to the booking terms and conditions posted on this Web site, and I accept the same as the terms and conditions upon which the rental agreement shall be made. I hereby absolve the owners of Maison Le Jubeau of all liability that may arise due to any failure on my part to take out adequate insurance coverage. Accept (required)
If there is anything you do not understand, please contact us. To continue and send us your booking, please click on 'Send Form'.

Please be sure you have read the complete Booking Terms & Conditions