(the red fields have to be fill in)

Name:
First Name:
n°:
Street, Avenue:
Post code:
City:
Country:
   
Phone Number:
GSM:
E-mail:
fax:
       
the booking concerns:    
Number of rooms  
(single bed): 
Number of rooms  
(double bed): 
Number of adults: 
Number of children  
(- 16 years old): 
Arrival :
/
/
Departure:
/
/
Do you want to book our suite? Yes   No