This form is a booking request

(obligatory fields*)

Number of rooms	Type	Beds per room	Persons per room	Including children under 10y old
0 1 2 3 4	Single	1 bed	1
0 1 2 3 4	Double	1 bed	2
0 1 2 3 4	Twin	2 beds	2	0 1 2 3 4
0 1 2 3 4	Triple	2 beds	3	0 1 2 3 4
0 1 2 3 4	Family	2 beds	4	0 1 2 3 4

Date of arrival*		(dd/mm/yyyy)
Number of nights*

Title	Mr Mrs Miss
Family Name*		First Name
Address*
City*		Country
E-mail*
Phone		Fax

I accept to receive some informations from the hotel.