Reservation

First and Last name *
Address *
City
State
Country
Postal / Zip Code
Phone number *
Fax
E-Mail *

Day	Month	Year
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 /	January February March April May June July August September October November December /	20	Arrival Date *
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 /	January February March April May June July August September October November December /	20	Departure Date *

Opening Hours by Appointment, check-out at 11 a.m.
Number of persons *
Number of rooms *
Room type:     Non-smoker

Comments: