Request for booking or information

Very important : This form is an application for reservation or information.
The booking will be confirmed after you return the contract we will send you by mail.
Please fill in all the spaces so we can register you application the best we can.
Thank you.

Name, first name:
Address:
ZIP or postal code:	Town:
Country:	State:
Tel:
Fax:
E-mail :

Arrival on:
Departure on:
Bedroom(s):	--------- "Blue" "Yellow" "Green" "Ochre" "Lavender" --------- "Blue" "Yellow" "Green" "Ochre" "Lavender"
Number of night(s):
Number of person(s):

Notes





Mas des Tuilières
Bruno Solari - 722, Chemin de Mormoiron - 84380 Mazan
Tel. 33 (0)4 90 69 77 91 - Fax 33 (0)4 90 69 77 91 - Cellular: 33 (0)6 03 47 96 11
E-mail: H.Jacquet@wanadoo.fr

RCS Carpentras D 403 355 209 - Siret : 403 355 209 000 12 - TVA FR 484 0335 5209 000 12