Registration form .pdf


Nom original: Registration form.pdfTitre: Registration formAuteur: Nadiéjda

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TINTINNABULE IN PROVENCE
1st to 11th of August 2018
Registration form
Print, scan and send by email to:
nadiejda.comes@gmail.com
First name :

Family name :

Email address :

Age :

M/F :

Phone (country code) :

Mailing address :

Emergency contact :

Phone :

Special needs (allergies etc.) :

Health and quality commitment :

I understand that buying and preparing seasonal organic food is part of the concept of this holiday, and I am
ready to participate.
I prefer an all-inclusive service : 400 €
Rate calculation : Check the corresponding boxes and circle the price at the end of the line.

Regular price
Student price
Additional price for 3 extra days (not including food)
Extra charge: All-inclusive food service from 1st to 11th of august
Extra charge: Single room from 1st to 11th of august
Discount: Providing your car: - 40 € x ….. seats in the car (including driver)
Discount: Nights with your sleeping mat and sleeping bag

TOTAL

750 €
550 €
140 €
400 €
350 €
- …….. €
- 180 €
…….. €

Payment by bank transfer to Nadiéjda Comes: 1296 rue Lavoie, J0T 2N0, Val-David, QC, Canada
French account : Crédit Agricole, IBAN : FR76 1820 6002 0148 9970 3100 161 BIC : AGRIFRPP882
Canadian account : Caisse Populaire Desjardins, Sainte Agathe des Monts, QC, Canada
Account number : 0815 30 190 318430 6 Transit Number : 0815 30 190

Deposit of 300 € before May 4th : date of payment
Full payment before July 1st : expected date of payment

Cancellation Policy :
We are sorry that we can’t offer a more flexible cancellation policy. This is impossible due to
accommodations which have strict cancellation policies.
th
th
Cancellation before May 4 : full refund. Cancellation before June 15 : we retain 200 €.
th
st
Cancellation before July 15 : we retain 300 €. Cancellation before July 31 : we retain 500 €.
DATE AND SIGNATURE :


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