| |
| Name and Last Name : |
|
Date - arrival : |
|
| Street - nr. : |
|
Date - departure : |
|
| ZIP -town : |
|
Alternative arrival : |
|
| State : |
|
Alternative departure: |
|
| Telephone : |
|
Number of adults : |
|
| Fax : |
|
Number of children : |
|
| E-Mail : |
|
Age of the children : |
|
| Number of rooms : |
|
Service : |
|
| Number of rooms : |
|
Service : |
|
| Number of rooms : |
|
Service : |
|
|
| I would like to : |
|
