Arrival:*

Departure:*

Arrival:  - 

Number of adults:* 0 1 2 3 4 5 6 7 8 9 10

Number of children: 0 1 2 3 4 5 6 7 8 9 10

Age of the children:

Room type:* - 1-pers. room standard (A) 1-pers. room standard plus (B) 1-pers. room comfort (C) 2-pers. room standard (A) 2-pers. room standard plus (B) 2-pers. room comfort (C) 2-pers. room comfort plus (D) Family room

Stay:* - Half board (breakfast and dinner) Only breakfast

Name:*

First name:*

Salutations:* - Mr. mrs.

Address:*

Postal code:*

Residence:*

Country:* - the Neatherlands Belgium Germany France United Kingdom Luxembourg Other country ...

Phone/cellular:*

Fax:

E-mailaddress:*