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Name
*
First name
Address
*
City
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Postal Code
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Country
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Phone
*
Fax
E-mail
*
Date to arrive :
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31
January
February
March
April
May
June
July
August
September
October
November
December
2008
hour approx.:
Date of departure :
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
2008
Number persons :
adults
children less 5 year old
Nb rooms :
Single
1 Single
2 Singles
3 Singles
4 Singles
5 Singles
Double
1 Double
2 Doubles
3 Doubles
4 Doubles
5 Doubles
Twin
1 Twin
2 Twins
3 Twins
4 Twins
5 Twins
Triple
1 Triple
2 Triples
3 Triples
4 Triples
5 Triples
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by postmail
by word of mouth
already client
visiting on spot
Ads in magazines/newspapers: which one?
Web site: which one?
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Hôtel **** Le Diana 21, boulevard de la plage 56340 Carnac
Tel : +33 (0)2 97 52 05 38 fax : +33 (0)2 97 52 87 91
contact@lediana.com
