Please, regill the
following
information

Given Names:

Surname:

Street/Avenue:

Town or city:

Postal Code:

Country:

Telephone:

Fax:

E-mail:

Request of:

Information Booking

Lodging Modality:

Hotel Apartments

Lodging Régime:

Remarks

Number of Rooms:

Number of Apartments:

Total number of people:

Arrival

Departure: