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.