REQUEST FOR RESERVATION

Ms:

Nom/Name/Name/Naam :

Prénom/First Name/Voornam/Vorname :

date of birth:

place of birth:

Mr:
Nom/Name/Name/Naam :
Prénom/First Name/Voornam/Vorname :
date of birth:
place of birth:

 

 

Identity Card no. or Passport no. of head of family or person responsible:

Vehicle registration number (only one vehicle per pitch)::

Profession Ms:

Profession Mr:

Adresse complète/Address/Adres/Adresse:
   

Telephone:

Fax:

Arriving on:

(13:00 hours)

Leaving on:

(12:00 hours)

   

Total number of persons on the pitch:

Last name, First name, date of birth (except for persons already identified above)

Exact dimensions of your main installation:

Dimensions of your awning:

Dimensions of your canopy:

Additional Canadian and Igloo tents (free): yes no

   

Additional

Dogs (any size or breed) 1,98€/night:

yes no

If yes, no. of obligatory tattoo:

If yes, dates of validity of anti-rabies vaccination :

Additional vehicle(s) 4.95€/nuit:

yes no

If yes, registration number(s):

Electricity 6A (4.57€/night):

yes no
Each of these options may be invoiced per night on request

Additional information :
The reservation fee (25€) per rental is in addition to the prices given above and is not refundable.

Details of your compulsory civil liability insurance:

Organisation paying social taxes:

   
INCOMPLETE RESERVATION APPLICATIONS WILL NOT BE ACCEPTED.