Registration - Cote d'Azur Holidays
 
 
Surname:
First name:
No and Streetname:
Post Code:
City:
Country:
Phone:
Language
Email:
 
 
arrival saturday / sunday on request
Modell "SEASIDE Lodge"
(max 5 pers., fridge/freezer, veranda, with aircon)
SEASIDE Lodge  
Modell "Confort"
(max 6 pers., fridge/freezer, with aircon)
Confort   
 
Modell "Confort Lodge" 
(max 6 pers., fridge/freezer, with aircon)
Confort Lodge  
Modell "Prestige" 
(max. 6 pers. 3 bedrooms, 2 bathrooms, with aircon, fridge/freezer)
Prestige  
 
Your travel infos:  
Arrival:  
  Departure:  
   
 
Number of Mobile Homes:*
Do you have a dog with you?
Yes   No
  if yes: how many: 2 Euro/Dog and Day   
   
OPTIONS:
(depends on availability)

bed linen and towels (15 per person)

BBQ (30€ per week)

final cleaning (50 Mobile Home 2 bedrooms
                           70 € Mobile Home 3 bedrooms)
 
   
   
Name and age of all the occupants of the mobile-home*
   
Booking conditions*
I have read the booking conditions and agree to comply with them!
   
The deposit of*:
  Euros
 
 
transfer to your bank. Please mail the details.
 
Requests, messages...
   
   
Please complete parts marked with *!