NAME _______________________________FIRST NAME_____________________________
ADDRESS __________________________________________________________________
POSTAL CODE________CITY _______________________COUNTRY _____________________
TELEPHONE _____________________________
GO BACK TO ARRIVEE ____________________ before 12 h
STARTING DATE ____________________ before 10 h
A NUMBER OF PEOPLE _____________ OF WHICH _____________ Children of less than 7 years
CARAVAN : YES NO
TRY : YES NO
ELECTRICITY (6 amps): YES NO
ELECTRICITY (10 amps): YES NO
ANIMAL : YES NO Number and race : __________________________
ADDITIONAL CAR : YES NO So YES How much : _____________
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