Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

Country

(###)

###

####

Photo and Video Release *

Ourfrenchcountrychateau / Chateaudelacarriere has my permission to use my photograph publicly to promote the Chateau, I understand that the images may be used in print publications, online publications, websites and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

YES

NO

Acceptance *

In completing and lodging the above you acknowledge you have read and accepted the Terms and Conditions applicable to your Chateau stay.

Yes