* point out zones demanded on the form  

First Name:

Addrese:

 

Email:

Phone:

*

*

Last Name:

Country:

*

*

 

 

persons:

child(ren) less than 16 years old:
Accomodation Type : Standard room Superior room Studio

Arrival Date:

D├ęparture Date:

 

Request

*

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l'Auberge 2008