Name * First Name

Address *

Postal code * Town * Country *

Email * Mobile Phone *

Number of rooms 1 2 3 4 5 6 Number of adults * ? 1 2 3 4 5 6 Number of children * ? 0 1 2 3 4 5 6

Choice of room --- Choose --- 2p - La 4 2p - Standard 2p - Sous-pente 2p - Spacieuse 3p - Standard or Mezzanine 3p - Spacieuse 4p - Mezzanine (1) 4p - Mezzanine (2) Type of stay Room Half board

Arrival date *

Departure date *

Remarks

* obligatory fields