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DEMAND OF RESERVATION
Thank you for completing this form.
(Fields marked with one * are compulsory)
Name - Surname
Nationality
Email
Number of mobile
Date of arrival
18
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
May
January
February
March
April
May
June
July
August
September
October
November
December
2012
2010
2011
2012
to
?
12h
12h30
13h
17h
17h30
18h
18h30
19h
19h30
20h
20h30
21h
Night number
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22 +
Minimum 2 nights
Cliquot
Number of persons** :
1
2
Croquignole
Number of persons** :
1
2
Clovis
Number of persons** :
1
2
3
Le Loft
Number of persons** :
1
2
3
4
Le Gîte
Number of persons** :
1
2
3
4
**Except baby
Internal parking lot
0
1
2
3
Your questions or possible remarks ?