frenchclass in Provence
Discover and explore the beautiful region of Provence, and indulge
in our three-course menu of grammar, culture and gastronomy.

21st September - 1st October 2008

Full Name: _____________________________________________________________

Address: ________________________________________ Post Code:______________

Phone: (Home) (__)__________________ (Office) (__) __________________________

Fax:(__)___________________ Email ________________________________________

Date of Course Required: __________________________________________________

Special diet: ____________________________________________________________

Your Interests: ____________________________________________________________

Experience with French: ____________________________________________________

TRAVEL INSURANCE.(compulsory)

Name of Insurance Company:________________________________________________

Address: _______________________________________________________________

• We have read, understood and accept the itinerary, related information and terms and conditions pertaining to the tour.
• We now wish to be accepted as a participant/s of the tour and enclose my/our deposit with the full understanding of the terms and conditions of the tour relating to refunds, cancellation and responsibility and liability.
• We hereby release frenchclass, its agents, associates and/or other related parties from all responsibility for damages, injuries, losses, or delays due to any reason whatsoever and hereby assume all risks in connection with the tour in which I/we are participants.
• WE AGREE, on behalf of the members of the party, to be bound by frenchclass booking terms and conditions.

Signed: 1._________________ 2. _________________ Date:__________

Number of Deposits enclosed_______________ @ $500 per person = $ _____

Payment Details

Please make cheques/ money orders payable to: frenchclass

Send booking form and payment to Paris Provence: PO BOX 4181 - Bay Village NSW 2261 - Australia