Please fill out this form. A confirmation of your reservation will be sent by fax. Please print this form and send it by fax at 00 33 1 42 23 93 88.
Last name First name
Number of people Number of nights
Arrival Departure (checkout is at 12:00 noon)
Credit card Visa Master Card
Name of cardholder Card number
Expiry date Cryptogram (last three numbers at the back of the card)
I, the undersigned, understand that my card will be charged for the price of the first night of the reservation in the event that I do not come, without having previously cancelled the reservation at least 24 hours in advance.
Signature Fax
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