Enquiry Form

If you are interested in renting Le Puits please complete and submit the following form and we will get back to you as quickly as possible regarding your request.

Please note that the fields marked * are required.

Surname: * Forename: *
No. and Street: *
Town: *
Post Town:
County: *
Post Code: *
E-mail address: *
Retype mail: *  
Telephone No.: *
Desired arrival date:   Click Here to Pick up the date*
Length of stay (weeks): *
No. of adults: *
No. of children  ---  Girls:     Boys:
Other information: