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MIDWEEK PROMOTIE
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CASINO ARRANGEMENT
RESERVATION form
Last Name
Name
Street and number
Postal Code
City
Country
Phone
Fax
Email
Arrival date
dd/mm/yy
vb. 02/05/0- = 2 may 2009
Nights
Number of persons
Type of room
Select a roomtype
double junior suite with seaview
single junior suite with seaview
double standard room
single standard room
Number of rooms
Type of room
Select a roomtype
double junior suite with seaview
single junior suite with seaview
double standard room
single standard room
Number of rooms
Type of room
Select a roomtype
double junior suite with seaview
single junior suite with seaview
double standard room
single standard room
Number of rooms
Modalities of payment
credit card
cash
Remarks