A+ A A-

Provence Odyssey Enrollment


Pricing: $3,300 based on 6 participants and a euro/dollar conversion rate of $1.10 

To reserve a place, please complete and return the Enrollment Form below with your check for $1000.  Please note:  Guests will select their room in the order in which their reservations are received.

The Final Trip Payment is due on July 15, 2021

In the event of cancellation by Chez Madelaine, participants will be offered a full refund of their prepayments.

Cancellation by Participant
In the event of cancellation by a participant, the Deposit of $1000 will be non-refundable UNLESS A REPLACEMENT CAN BE FOUND.  It is highly recommended that participants obtain Trip Insurance for protection against cancellation and cancellation penalties.

Chez Madelaine is acting only as agent for trip participants and assumes no liability for personal injury, loss, property damage, accident, or delay arising out of the acts of default of any carrier, hotel, motor coach, or other persons rendering any services in connection with the trip.  Baggage is at owner’s risk.  No refund will be made for any unused portion of the trip.

Chez Madelaine is not responsible for failure or delay in performance arising from causes beyond its reasonable control.  It can accept no responsibility for loss or expense due to sickness, weather, strike, war, acts of terrorism, quarantine, or other causes beyond its control.  Every effort will be made to adhere to the printed program; however, it may be necessary to make such alterations to the program as are necessary under circumstances beyond the control of the Chez Madelaine for the benefit of the trip participants.

By completing and signing the trip application form, the participant agrees to the terms and conditions of the trip and agrees to waive all claims and suits against, defend, release and hold Chez Madelaine harmless for any and all liability for personal injury, property damage or loss of any nature whatsoever arising from participation in this trip program.

chezm logo

September 10 - 17, 2021

Enrollment Form

Please send your signed and completed enrollment form and deposit to Chez Madelaine, 18 East Custer St., Lemont, IL 60439 and retain a copy of this enrollment form for your records.  Please direct all trip inquiries to Madelaine Bullwinkel  at 630-514-8712  or This email address is being protected from spambots. You need JavaScript enabled to view it.

Participant Information:
Name as it appears on your passport: ______________________________________________________________________

 Address: _________________________________________________________________________________________                               Street                                          City                          State                      Zip Code                                                                                                     

                          Home Phone                                   mobile                                                      email

I am requesting ___single occupancy ___double occupancy with _____________________________________
(Please submit a separate enrollment form for each participant in double occupancy)

___    My deposit fee for $1000 per person, made payable to Chez Madelaine is enclosed.

MY SIGNATURE INDICATES THAT I have read and agree to all of the following Terms and Conditions of this travel program.

SIGNATURE ________________________________    DATE:____________