(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
Comments and other wishes services: