MONTGOLFIERE du PERIGORD
Clos Saint Donat
24 250 LA ROQUE - GAGEAC
Tel : 05 53 28 18 58
fax : 05 53 28 89 34
www.montgolfiere-du-perigord.com
e-mail : perigordballoons@wanadoo.fr
siret : 443 347 182 000 18
BON DE RESERVATION
Name : ..................................................... Surname : ..........................................................
Billing Adress : ........................................................................................................................
.................................................................................................................................................
Post Code: ..................................................... City : .............................................................
Country : ....................................................... Phone number: .............................................
Fax : ............................................................... E-mail : ..........................................................
"ADULT tickets"
FIXED flight ...................x 190Euros.
TOURISTIC flight ............x 210Euros.
PREMIUM flight ...............x 250Euros.
Long distance1................x 400Euros.
Long distance2................x 450Euros.
"CHILDREN tickets" *
FIXED flight ..............x 95Euros.

TOURISTIC flight ...........x 105Euros.
PREMIUM flight ...............x 250Euros.
Long distance1................x 400Euros.
Long distance2................x 450Euros.
TOTAL : .......................................Euros
Date of flight: ................................... no special date morning   evening
Name, surname and weight of each passenger for ticketing, insurance, and flight organization:
1) Name, surname..................................................................weight...................Kg
2) Name, surname..................................................................weight...................Kg
3) Name, surname..................................................................weight...................Kg
4) Name, surname..................................................................weight...................Kg
5) Name, surname..................................................................weight...................Kg
6) Name, surname..................................................................weight...................Kg
7) Name, surname..................................................................weight...................Kg
  important note  
We kindly ask passengers to contact us before the flight to confirm. For the evening flight, please contact us begining of afternoon the day before the flight. For morning flight, please contact us begining of afternoon two days before the flight. MONTGOLFIERE DU PERIGORD will give you the probability of flying according to the latest weather forecast.
 
* "CHILDREN ticket" is only for kidunder 12.
Children over 12 with "CHILDREN ticket" will NOT insured.