BOOKING REQUEST BY MAIL :
First name:
Last name:
Adress
Zip code:
City
:
Country:
Phone :
Fax:
E-mail:
Type:
Arrival date
(dd/mm/yy
):
Nights number:
Departure date
(dd/mm/yy
):
Single Room
Double/Twin Room
Triple Room
Payment
Master card
CB
JCB
VISA
American Express
Diner's Club
Credit card number:
Expiration date:
Comments: