welcome BandB'guest rooms Vacations

MAISON GRAND CHAMP 9 place des Pénitents 19260 TREIGNAC
Tel : 33 (0) 5 55 98 10 69 E-Mail : teyssier.marielle@wanadoo.fr

RESERVATION REQUEST FORM

Please fill out this form and send it to us by clicking on the "Submit " Key
The fields in red with a star NEED to be filled out , as they are mandatory.
We will get back in touch with you as soon as possible.

Last Name and First name* :
E-Mail* :
Telephone* :
Address*:
Fax :
Number of adults :
YOUR BEDROOM SELECTION ACCORDING TO YOUR ORDER OF PREFERENCE :
Choice 1 :
Choice 2 :
Choice 3 :
Arrival date* :	YYYY-MM-DD
Departure date* :	YYYY-MM-DD
Be :	nights
Our beds are adjustables. Please, specify your request.
Number of rooms with 1 large bed :
Number of rooms with 2 twin beds :
Additional comments :