FAX

to:    JACARANDA Golf-Hôtel fax:        (00212 48) 23 27 16
from: date:
title:   RESERVATION pages:
cc:  

   RESERVATION

    Nom ________________________________________
    First Name ________________________________________
    Road / No. ________________________________________
    ZIP / town ________________________________________
    Country ________________________________________
    E-mail  ________________________________________
    Tel / Fax ________________________________________
    _ Room with shower  _ Room with bath
    _ double room  _ single room
    from ....    to .... ______________ -- ______________
    Number Nights _____

    Number Persons

 _____

    Number Childs

 _____   Age: ___  ___  ___  ___  ___

 Your Message:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

 

Place/Date: __________________       Signature:  __________________