Booking Form

Thank you for filling this form as follows : lower case letter and no accent

 Title *:   Mr Mrs Miss


Family name
* :

First name*:

Address*:

Post code*:

Town*:

Country:
E-mail *:
Phone number*
Fax :

Number of people*:
Pets : YES NO 
TV option ( +25 euros) YES NO  
I would like to book a mobile-home for :


Day
at
To : 
Month
at
To : 
Years
AT
To : 
     

Desired mobile-home model

Super Mercure Famille4 / 6 people

Super Mercure 4 / 6 people

 
Super Titania 3 bedrooms 6 / 8 people
 

****************************** Message ****************************

I would like to receive your booklet