PERSONAL INFORMATION:

Name:                    First name:
Street:                   N°:                  box:
Zip Code:              City:            
Country:         
Tel:                        Fax:        
Email:              

BOOKING INFORMATION:

Arrival:           Departure:

n° of adults:     n° of children up to 6 years:     n° of children from 7 up to 12 years:

                      X   Single room(s) - 1pers
                      X   Twin room(s) - 2pers
                      X   Double room(s) - 2pers
                      X   Triple room(s) - 3pers
                      X   Quadruple room(s) - 4pers

Your stay will be in:   
Package:                    
Promotion:                  * not valid on our packages.

Special services:

               underground parkplace
               supplement for a studio
               extra bed
               supplement for a pet

CREDIT CARD INFORMATION:

Credit card: Credit card Number : Expire date:
* This reservation is definite and garanteed after having received a credit card
    garantee or an advance deposit from 30%. A non garanteed reservation
    will be automatically cancelled 15 days after reservation date
    (and/or 48h before arrival).

Special request: