QUOTATION FORM FOR FAMILIES

All the fields with a * must be filled in

FIRST NAME* :
Full adress*:
Town* : Post code* :
Country* :    
Phone * :    
Cell. Phone (GSM) :    
Your email * :  

 

 REQUESTED DATES
Arrival date * :    
Departure date * :    
if we are not abble to welcome you on these dates can you please give another choice?
Arrival date* :    
Departure date* :    
Number of persons for the stay :  

 

 

Persons who stay 
Adults : Children :
• Name : • Name :
First Name : Fisrt name :
Born on the :

Born on the :

 
• Name : • Name :
First name : Fisrt name :
Born on the :

Born on the :

 
• Name : • Name :
First name : Fisrt name :
Born on the :

Born on the :

 
• Name : • Name :
Fisrt name : first name :
Born on the :

Born on the :

ACCOMMODATION*
How many persons on wheelchair ?
How did know the Lazaret* :

 

RESORT CATERING*
Do you want full board :
Do you want half board :

In summer half board for dinner time only

 

CANCELLATION INSURANCE :

I souscribe to the cancellation insurance – interruption – delay of stay – assistance – rapatriation within PM CONSEIL and Le Lazaret (details of the contrat on request)

I accept to receive Ternélia offers by email or letter.

In a few days you will get a personalized quote by mail or post. If you want to book, please send back the booking request . (par post with d’a 30% deposit payment or d’ 33% if you suscribe the cancellation insurance). Your booking will only be definitive when you will get a written confirmation from the LAZARET.