Online booking of a pitch

Name:    
Address:    
Zipcode: City:
Phone: E-mail:

Date of arrival: Date of departure:
       
Type pitch :
       
:    
       
Housing: Dimensions: m. X m.

Total people : children aged to 2 years
    children aged from 3 to 6 years
       
Pets:    
       
Extra:    

Message:
       
Attached money-order/check representing 40% of amount due + € 15,00 reservation fee.
Bank transfer IBAN: FR76 1009 6180 7800 0245 0720 141 BIC:CMCIFRPP
Balance to be settled on arrival.
 
Date: 08.02.2012
 
Your conformation