- Request Form -

Region or Areas
Position:  
Coast/Sea Hill Montain Art cities
Date of Arrival Date of Departure N Nights
Accomodation:  
house/villa apartment bedroom

Name.....................
Lastname.................
Street...................
Country..................
Zip......................
City.....................
Province.................
.........................
Phone (home).............
Phone (work).............
Phone (mobile)...........
Fax......................
E-mail...................

Number of persons:  
Adults...................
Children................. Age children
    
For Groups:  
Total of persons.........
rooms twins..............
double...................
single...................
Other....................

Special Request..........
          Swimming pool  Horse back riding  Playground for children
Animals:  
Race Heigh   Sleeps in the room or apt.
Yes
No
 
AIMS QUIETENESS'
(far from the cities)
GASTRONOMY
  NATURE
(parc or protected area)
HUMAN CONTACTS
  DIVERTMENT
(not far from young facilities)
AGRICULTURE
  WITHOUT CAR
(to be close to stations or bus stops)
Other
   

NOTE: