Booking form

 

Important
Reserve using this form
Reservation will only be valid after return of the contract which will be posted to you
Please fill in all fields so that we can process your request satisfactorily
Compulsory fields are indicated with an asterisk

 

Following a problem with our reservation form, please send us an email at: info@la-mine-dor.com

Here is the information we need for your reservation :

Name :
First name for the both :
Mail :
Phone :
Adress :
Zip code :
City :
Country :
YOUR GITE OR BED AND BREAKFAST :
Date of arrival :
Date of departure :
Number of persons :
Number of rooms :
Number of children :
Age of children and first names :
Animals :
Message :

Best regards !!!