Personal information :
Name and Surname :
e-Mail :
Street :
N° :
Town :
Post Codel :
Country :
Telephone :
Reservation How many
Children 0-3 years
Children 3-12 years
Adults
Arrival date	(JJ/MM/AAAA)
Departure date	(JJ/MM/AAAA)
Which room would you like to reserve? Single (simple) Mezannine (double) Studio (double)
Questions and suggestions?