Request and booking

Character of the request  Request     Booking
Dates From*
To*     
We are Adults Children
Age children Child 1    Child 2    Child 3    Child 4
Room type/Number of rooms Double room
Double room larch
Single room
Double room superior
Personal dates
Title Mrs.   Mr.
Name*
Surname*
Street* Number*
ZIP* Place*
Country
Phone*
Fax
E-Mail*
Additional information or request
*) Please complete the signed spaces

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