Surname:	*
First name:	*
Address:
Zip:	*
City:	*
Country:	*
Phone:	*
Mobil-phone:
e-mail:	*
Arrival date:
Departure date:
Number of adults (and children + 11yo):	*
Number of children -11yo:	*
Individual rooms:	*
Doble rooms:	*
Triple rooms:	*
Quadruple rooms:	*
Regim:	Bed and Breakfast *
Comments (Age of children, garage, animals, ski-passes, extras... ) :