Booking or information request
First
Name :
Family name :
Address :
Postal code:
City :
Country :
E-Mail
*
:
indispensable
(eg. Yourname@domain.com)
Phone :
Fax :
Your stay :
Occupants :
Adults
Children
Pets
Arrival date :
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
Departure date :
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
Your choices
Emplacement/site:
Rent :
Elactricity : Yes
- No
Tent :
Yes
- No
Caravan : Small
- Big
If rent :
Choice: no rent
Ventoux
Méditerrannée
Request :
Sanitary:
near
- far
Chidren playground: near
- far
Any message :
How did you know us ? (link? ,...)
If you want an
urgent
answer for your reservation,
Send your
fax number
or your
E.mail address
we will be happy to contact you by return.
You can also telephone us ++ 33 (0)4 75 28 02 68 . Looking forward seeing you soon.
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