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have to be filled in]
name
first name
street + number
bus
postal code
city
tel.
fax
e-mail
credit card
Visa
Eurocard
card number
card verification code (CVC)
(see on reverse side of the card
in the signature field, last three digits)
expiration date
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/
2007
2008
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2010
2011
2012
2013
2014
2015
2016
2017
room
single kamer
standaard kamer
luxe kamer
suite kamer
familiekamer
combineerkamer
on the base of
kamer met ontbijt
day of arrival
/
January
February
March
April
May
June
July
August
September
Oktober
November
December
/
day of departure
/
January
February
March
April
May
June
July
August
September
Oktober
November
December
/
nights
remarks or wishes
OPGELET: note that this booking will only be definite after reception of our confirmation.