Surname/Forename

Information concerning you is for exclusive use by the HOTEL LES AZALEES.
In compliance with the “informatique et Liberté” (data and freedom) Act (art. 34),
you have a right of access, modification, rectification and deletion of information concerning you.

Company

Adress

Poste code

City

 

Telephone

Telecopie

E-mail

Arriving on

Departing on

 
Rooms
Single Total

Remarks

Double Total
3 person Total
4 person Total

Room only

Half-bord

Please let us know if you will be arriving late