Manuela Otte, Bleichstr. 69, 33102 Paderborn, Germany
Fax: +49 (0) 52 51/ 30 01 89

Reservation form
Apartment "Les Terrasses de l' Estérel" Théoule sur Mer/ Miramar
Sender
Name   Phone  
First name   Mobile  
Street   Fax  
Post code/ city   E-Mail  
Country   Identity card no.  

 

Participant/ number of participant (Please specify all participants!)
Name, first name Date of birth Name, first name Date of birth
1     3    
2     4    

 

Period

Stay from Saturday, _____________ until Saturday, _____________ from week____ until week ____.

 

Total rent/ stay 

EUR  _____________ + EUR 77,- final cleaning and bedlinen.

 

Type of payment

X

 bank transfer

 

We have read and accept the terms of rental and payment.

 

City _____________________________ date ________________ signature/ s ___________________________

 

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