Name:
*
Town :
*
Address :
*
E-mail :
*
Phone :
*
Date of arrival
Month:
-- Month --
January
February
March
April
May
June
July
August
September
October
November
December
*
Day :
-- Day --
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
*
Night :
-- Night --
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
*
Number of guests:
-- Person --
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
*
Service :
-- Service --
with breakfast
half board
full board
Note :
* By ticking the checkbox, in accordance with Article 6 (1) (a) and Article 7 of the General Data Protection Regulation (GDPR), I consent to the data controller agreeing to the personal data I have just provided in accordance with the terms of the GDPR and its own data protection notice. handle with care. I acknowledge that, in accordance with Article 7 (3) of the GDPR, I may withdraw my consent at any time.
With Star marked fields are mandatory!