ENTRY FORMIMPORTANT : This form enables you to carry out a request for reservation. The reservation will become effective after we have received the contract which will be sent to you by mail, as well as your deposit. We thank you to fill in all the fields so that we can best carry out your request. Incomplete forms won't be examined. Thank your for your comprehension.
Name and first name
Address :
Town :
Postal Code :
Country :
State :
Phone number :
Fax number :
E-mail :
Dates required from
Number of nights :
To
Number of persons
1 2 3 4 5 6 Beyond (number) ___________
Adults
Children
Age of children :
Tent
Mobile-Home
Annual rental
Caravan
Other request
(mobile-home / chalet acquisition)
Camper van
Chalet
Electricity
I, undersigned
declare that the information mentionned above is true At , date// Signature :How did you know our caravanning ?Guide Friends Minitel Internet Other Showroom (place & date)
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