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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 :