Reservation of guest rooms, suites and gites. Pernes les Fontaines

This form will enable you to make a room reservation.
Thank you for filling in all headings in order for us to handle your reservation in the best conditions.

The reservation will be confirmed per e-mail or per post.
Each reservation will take effect only after making a 30% deposit of stay price total amount.

The balance of your stay must be paid 31 days before your arrival.

In case of cancellation until 31 days prior to arrival, the hotel will charge on your credit card, the amount of the first night or deposit.
In case of cancellation less than 31 days, the hotel will charge the entire stay on the credit card or deposit check.

Domaine Grange Neuve - 436, chemin de la Grange Neuve - 84210 La Roque sur Pernes
Tel./Fax : +33 (0)490 665 527


	Surname * :
	First Name :

	Address* :
	Postal code * :
	Town * :
	Country * :

	Telephone * :
	Mobile :
	E-mail * :

	Number of adults * :
	Number of children * :	(between 3 and 12 years)
	Number of babies * :	(under 3 years)

	Guest rooms :	Single room Standard room Superior room Suite

	Arrival date * :	day/month/year
	Departure date * :	day/month/year

	Special requests :
	* : Requested fields