Reservation

First name: Name:
Street: Number / Box:
Mail code: Municipality:
Province: Country:
Phone : Fax:
Mobiel: E-mail

Number of Persons: Number of rooms:
Arrival: Departure:
Number of nights:    

Name credit card: credit card number:
Termination date card: CVC Code:
      (3 last figures on the back)

Rooms Photo Price Institution Number

1 Person   39 € TV Telephone Lavabo
1 Person   44 € TV TelephoneLavaboDouche
1 Person   48 € TV TelephoneLavaboDoucheToilet
2 Persons Info 49 € TV TelephoneLavabo
2 Persons Info 55 € TV TelephoneLavaboDouche
2 Persons Info 59 € TV TelephoneLavaboDoucheToilet
2 Persons Suite 99 € TV TelephoneLavaboDoucheToilet Bath
3 Persons   75 € TV TelephoneLavabo
3 Persons   85 € TV TelephoneLavaboDoucheToilet

Observations: