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Company      
 
Mr. Mrs. Miss
         
Name *   First Name *
Address
Postal code  Town   Country
Phone number   Portable*
E-mail *      
  * Requested information      

RESERVATION OR CONFIRMATION OF RESERVATION
Dates required
Day of arrival (01/07/04) Day of departure (15/07/04)
Number of adults Number of children Ages
Type of accommodation
Room Number Apartment
For the confirmations,
hour of arrival *		    

Message
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In accordance with the Loi Informatique et Libertés [the Computer and Freedoms Law] dated 6th January 1978, you have the right to access and modify any personal information pertaining to you..

Our company or association remains the sole recipient of any information sent for its attention.