* Nom / Surname                         

* Prénom / First Name                

* Téléphone / Phone number      

* E-mail                                        

* Adresse / Adress                         
                                                     

* Date d'arrivée souhaitée
  Required arrival date                 

* Nombre d'Adultes                                                                        * Nombre d'Enfants                                 
  Number of adults                                     Number of Children    
                                                                                                          * Age / Age                

* Renseignements souhaités
  Information required                Chambre / Room only
                                                     Pension Complète / Full Board
                                                     Restaurant / Restaurant
                                                     Demi Pension / Half Board

* Observations / Observations