ENROLMENT FORM
PLEASE READ ALL QUESTIONS CAREFULLY.
Complete the form as fully as you can. Some "fields" are obligatory. If you have any trouble completing this form, please email us at book@coeur-de-france.info You will see a confirmation page, once you have submitted this form.
Please do not submit more than once.
If you need to amend any information, please do so before submitting, or by email afterwards.
If there is anything that you think may be of extra help in making your booking, please complete the "Other Information" box at the bottom of this form.
Do not complete and send this form unless you are MAKING A CONFIRMED BOOKING. Check the availability calendar first
Name and Surname
Address (inc postcode)
Telephone including area code
Mobile phone number
Email address (make sure it is correct - this is a form-email and it will not store your email address automatically)
Confirm your email
I would like to book the following dates:
For how many people? Please select ONE PERSON TWO PEOPLE THREE PEOPLE FOUR PEOPLE FIVE PEOPLE
Payment: You will be sent a confirmation email of deposit payment and balance payable
I am paying by French Bank Cheque in Euros or I am paying via Paypal (you will be sent a payment request) I am paying by GB Sterling Cheque or direct bank transfer (we will advise you of the currency conversion)
I am paying by French Bank Cheque in Euros or
I am paying via Paypal (you will be sent a payment request)
I am paying by GB Sterling Cheque or direct bank transfer (we will advise you of the currency conversion)
OTHER INFORMATION: Use to advise us of anything else you think helpful such as special dietary requirements, whether you require airport or sation transfer (with times if you know them) etc.
PLEASE READ: Once you have clicked "Submit" the form will be sent. You will see a copy of what you have sent. You can print it if you like, then CLOSE the window to return to the site. If you submit the form and realise there are any mistakes, click the link "return to the form" at the bottom of the confirmation page and start again but please, if resubmitting a booking form, let us know in the "other information" box above that this is a revised form. By submitting this form you are BOOKING the course (subject to availability) and will be required to make payment. You will be sent payment details by email - make sure your email address is correct.
PLEASE READ:
Once you have clicked "Submit" the form will be sent. You will see a copy of what you have sent. You can print it if you like, then CLOSE the window to return to the site.
If you submit the form and realise there are any mistakes, click the link "return to the form" at the bottom of the confirmation page and start again but please, if resubmitting a booking form, let us know in the "other information" box above that this is a revised form.
By submitting this form you are BOOKING the course (subject to availability) and will be required to make payment.
You will be sent payment details by email - make sure your email address is correct.