RESERVATION REQUEST
YOUR INFORMATIONS
Civility*
Mme
Mr
Melle
NAME*
FIRSTNAME*
E-mail address*
Address
CP/Town
COUNTRY*
Telephon/Fax*
REQUEST
ARRIVAL DATE*
DEPARATURE DATE*
NUMBER OF DAYS*
NUMBER OF PEOPLE*
NUMBER OF ROOMS*
ROOM TYPE* :
-Single
-Standard double room
-Superior double room
-Triple room
-Balinaise
-Familiale Suite
-Junior Suite
-2/3 people Suite
REMARKS