Reservation Form : Hotel “La Rose des vents”

Fill in the form below with your request of reservation or information. An answer will be sent to you according to availability. Thank you

Name * :

First Name * :

Adress:

City :

Post Code :

Country:

Tel * :

E–mail * :

*Obligatory

Arrival(dd-mm-yyyy) :

Departure (dd-mm-yyyy) :

Number of people :

Children's age : - -

Nb room(s) single	Nb room(s) double	Nb room(s) 3 people	Nb room(s) 4 people

Breakfast

Half-board

Full-board

Evening stop

Additional information :