必ずアルファベットでご記入ください。
First name:
Surname:
Address:
Zip code:
City:
Country:
Phone:
Fax:
E-mail:
Room type:
>> SELECT <<
Single
Double
Triple
Appartment
--------- From July the 1st to August the 30th ---------
Single room
Double room
Twin room
Double room with an extra bed
Twin room with an extra bed
Triple room
Triple room with an extra bed
Appartment (2 doubles communicantes)
Appartment (1 double + 1 twin communicantes)
Appartment (2 doubles communicantes) with an extra bed
Appartment (1 double + 1 twin communicantes) with an extra bed
Date of arrival
(dd/mm/yy)
:
Date of departure
(
dd/mm/yy):
Number of nights:
Payment
Master card
CB
JCB
VISA
American Express
Diner's Club
Card Number:
Expiration Date:
Comment:
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