ご予約
■ 必ずアルファベットでご記入ください ■
First name:
Surname:
Address:
Zip code:
City:
Country:
Phone:
Fax:
E-mail:
Room type:
Room 01 and 02 (on garden)
Rooms 12 and 38 (terrace)
Rooms18 and 28 (on courtyard, possible triple)
Standard rooms 1st, 2nd and 3rd floor
Standard rooms4th, 5th and 6th floor
Room 47 (triple apartment)
Room 66 (duplex)
Rooms 64 and 65 (terrace, view on Odeon theatre)
Date of arrival (dd/mm/yy):
Number of nights:
Date of departure (dd/mm/yy):
Payment:
Master card
CB
VISA
American Express
Diner's Club
Card Number:
Expiration Date:
Comment:
必ず英語または仏語で
ご記入ください
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