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information
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accompanying guests
•
booking
booking
*
Surname:
*
Forename:
*
Address:
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Postcode:
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Town:
*
Country:
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Phone:
Fax:
*
eMail:
Comments:
Fields marked (*) are mandatory
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Surname and forename of each person
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Date of birth (dd/mm/yyyy)
1
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2
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3
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4
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5
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6
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7
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Fields marked (*) are mandatory
Type of rental:
Mobile home 6 + sea view
Mobile home 6 sea view
Mobile home 6
O'Phéa premium 4/6
Key West 4/6
Mobile home 4/6
Mobile home 4
Samoa 6
Atlantis 5
Moréa 5
Club 5
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Date of arrival:
(from 4.00 pm)
/
/
2012
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Date of departure:
(10.00 am)
/
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Cleaning:
Half-board:
adult(s)
child(ren)
Cancellation insurance:
(facultative, 3 % of the rental price, 6 € minimum)
*
Method of payment:
Choice
Credit card
Cash
International money order
Bank transfert
*
I hereby acknowledge that I have read the terms and conditions.
Fields marked (*) are mandatory