Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### Preferred Campsite Type * Tent Trailer Tent Caravan Camper Van Gite Mobile Home Arrival Date * MM DD YYYY Departure Date * MM DD YYYY Number of Adults * Number of Infants (0-3 years) * Number of Children (4+ years) * Number of Dogs? (if applicable) Number of Pitches Electrical Hookup Needed Yes No Additional Requests/Comments Confirmation that you have read and understood campsite payment policy. * Thank you for choosing Camping Chez Philipaud! We will be in touch shortly to confirm your booking and send over payment details. We look forward to welcoming you to our campsite! Campsite Payment Policy
