Booking Form

Name: (lead member of party): *required

Address: *required

County: *required

Postcode: *required

Telephone number: *required

Mobile number:

Your email: *required

Start date:

End date:

Which gîte(s) have you reserved:

Number of people in party:

Number of children (please state ages):


Special requirements:

Payment method:

Please make cheque payable to: Nicky Gallagher, Les Rivières.

Bank details will be sent by email.

Google Checkout is a fast, secure checkout process allowing you to pay online quickly and easily with a single login.

Click here to visit our HomeAway page where you can make online payments.

Price quoted: