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Request for information Form to complete : Hotel with restaurant :
    Le Vieil Amandier
Your request will be treated as soon as possible by our team. This one engages you of nothing near our establishment. You will be then contacted by our team according to the desired mode.
To move you of fields with another, use the key tabulation. The fields followed by an asterisk * are to be filled obligatorily

Information :
Name :   *
First name :   *
Email :   *
Telephone :   *
Telefax :  
Company :  
Address :   *
Address continuation :   *
Postal code :   *
City :   *
Country :   *

Description of the reservation :
Date of arrival :   (jjmmaa) * *
number of nights :  
number of adults :  
Room 1 great bed :  
Room 2 small beds :  
Beds additional children :  
number of children :  
Lodging type :  
     

Mode of answer wished :
  Mail Telephone Telefax Email  
             

Possible message :
Message :