Name* :

Fisrt name :

Nationality* :

   

Address* :

ZIP code * :

City* :

Tel :

Email* :

 

 

 

Period of the booking

From :

/ /

To :

/ /

 

 

 

 

How many pitch ?

With electricity

without electricity

How many Kiwis ?

Hour of arrival

Wish (proximity of the facilities …) :

Number of adults (+ 12) :

Number of children (1 to 12) :

 

 

*You must complete this space