Please complete this form to reserve your room :
First name :
Surname :
Address :
City :
Postcode :
Country :
Telephone :
Fax :
E-mail :
Type :
Standard shower
Standard bath
Twin
Triple
Arrival date (dd/mm/yy) :
Number of nights :
Departure date (dd/mm/yy) :
Payment :
EuroCard-MasterCard
Traveller cheques
VISA
Diner's Club
JCB
American Express
Comments :