Booking request

YOUR INFORMATIONS

NAME:*
FIRST NAMES:*
ADDRESS / N°:
CITY:		ZIP CODE:
COUNTRY:
TELEPHONE:*		TELEFAX:
E-MAIL:*		COMPANY:

DATE OF ARRIVALS:		MONTH		YEAR
DATE OF DEPARTURE:		MONTH:		YEAR:

NUMBER AND TYPE OF ROOM:

STUDIO STANDARD	JUNIOR STUDIO	APPARTEMENT
NUMBER OF ROOMS:	NUMBER OF ROOMS:	NUMBER OF ROOMS:
DOUBLE BED:	DOUBLE BED:	DOUBLE BED:
TWO BEDS	TWO BEDS	TWO BEDS
	EXTRA BED (Max 1 p/ room):
PEOPLE (Max. 2 p/ room):	PEOPLE (Max. 3 p/ room):	PEOPLE (Max. 4 p/ room):
NUMBER OF ADULTS:	NUMBER OF ADULTS:	NUMBER OF ADULTS:
NUMBER OF CHILDREN +6 YEARS:	NUMBER OF CHILDREN +6 YEARS:	NUMBER OF CHILDREN +6 YEARS:
NUMBER OF CHILDREN -6 YEARS:	NUMBER OF CHILDREN -6 YEARS:	NUMBER OF CHILDREN -6 YEARS:
	NUMBER OF BEDS BABY:	NUMBER OF BEDS BABY:

SPECIAL REQUESTS:

PARKING (Sfr. 20,- / day)

COMMUNICATIONS:

If it is an amendment, cancellation or any other communication, please note it here.

NUMBER OF CREDIT CARD*
EXPIRATION DATE*	DD-MM-YYYY

AMEX VISA EURO/MASTER DINERS OTHER

If for security issues you do not want to send your card number credit by e-mail, you can send your request by fax, by printing this form, at +41 22 849.81.10

* Required