Family bookings

LAST NAME * :

Full Address * :

City * :

Postal Code* :

Country * :

Phone * :

Mobile Phone:

Your Email * :

VACAF File:

VACAF YES

Beneficiary No.

REQUESTED DATES

Arrival Date * :

Departure Date * :

If we cannot accommodate you on your requested dates, what is your second choice?

Arrival Date :

Departure Date :

Number of participants for the stay *:

STAY PARTICIPANTS

ADULTS:

CHILDREN:

• Name:

• Name:

First Name:

First Name:

Born on:

Born on:

• Name:

• Name:

First Name:

First Name:

Born on:

Born on:

• Name:

• Name:

First Name:

First Name:

Born on:

Born on:

• Name:

• Name:

First Name:

First Name:

Born on:

Born on:

ACCOMMODATION

PREMIUM (Les Aigladines, rooms up to 2 people), COMFORT (Gabian, Goélands, Flamants, Cormoran - rooms up to 5 people)?

PremiumComfort

South Category Supplement (Accommodation with sea-facing balcony or terrace)

South Category option(€140/week/booking)

Would you like?

Ground floor1st floor2nd floor

Number of people in wheelchairs?

CATERING*

Would you like:

Full boardHalf board lunchHalf board dinnerBed & breakfastNo catering

CANCELLATION INSURANCE:

I subscribe to the cancellation – interruption – stay delay – assistance – repatriation insurance offered by PM CONSEIL and Le Lazaret (see Terms and Conditions and Cancellation Insurance)

YesNo

MISCELLANEOUS:

Have you already stayed at the Domaine:

yesno

If not, how did you hear about Le Lazaret?

Cap FranceProtestant NetworkWebsiteTourist Office

Other:

I agree to receive offers from Le Lazaret by email or mail.

YesNo

MESSAGE/COMMENT

You can enter any questions or messages you deem useful here: