Route Côtière - Chemin Grenier ¤ Tel: (230) 625 5112/3, 625 6111 ¤ Fax: (230) 625 6110 ¤ E-mail: [email protected]

HOTEL / FUN & LEISURE / PHOTO ALBUM / BOOKING FORM

Name, MI, Surname

 Fax Number

 

Persons In Room

Children under 12 years old

 

 

  Cash upon Arrival  Travellers Cheque    Bill my agent  

Tel & Fax Number

E-mail Address

Arrival Date

Departure Date
BOOKING DETAILS

No. of Rooms

Total no of travellers

TERMS OF PAYMENT

Name of Travel Agency (if booked by an Agency)
Credit card

Address