Booking Form
(
*
mandatory fields)
Surname / Name
*
Adress
*
Town / Zip
*
Country / State
*
Email
*
Phone number
Home
Mobile
Your Booking
Number of Persons
Choose
1
2
3
4
5
6
7
*
Number of Bedrooms
Choose
1
2
3
*
Prefered Bedroom
African Bedroom
Chinese Bedroom
Traditional Bedroom
Arrival Date
* (dd/mm/yyyy)
Arrival Time
*
(hh:mm)
Duration of Stay
* (number of nights)
Pets
none
dog
cat
else
Additional Bed
none
1
Comments / Questions
- Route de Sore - 33113 Saint-Symphorien - Tel : 00.33.5.56.25.73.22. -
e-mail :
Lairial [ lairial
A
T
gmail.com ]
