THANK YOU TO INDICATE A VALID ADDRESS MALL (FIELD OBLIGATION)
as well as a telephone number in order to be able to join to you in the case of a defective e-mail.

DATES OF STAY :

STARTING : 1st 02 03 04 05 06 07 08 09 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 2008 2009 2010 2011 2012        TIME   1 WEEK 2 WEEKS 3 WEEKS 4 WEEKS

INFORMATION :

HOW MANY PEOPLE  1 2 3 4 5 6 7 8 9 10 11 12

AGE OF CHILDREN (under 16) :

1st CHILD           - 0 year  1 years  2 years  3 years  4 years  5 years  6 years  7 years  8 years  9 years  10 years  11 years  12 years  13 years  14 years  15 years        2d CHILD  - 0 an  1 year  2 years  3 years  4 years  5 years  6 years  7 years  8 years  9 years  10 years  11 years  12 years  13 years  14 years  15 years 

3rd CHILDT         - 0 an  1 year  2 years  3 years  4 years  5 years  6 years  7 years  8 years  9 years  10 years  11 years  12 years  13 years  14 years  15 years        4thCHILD  - 0 an  1 year  2 years  3 years  4 years  5 years  6 years  7 years  8 years  9 years  10 years  11 years  12 years  13 years  14 years  15 years 

CHOOSED HOME :

Balcon des Alpes/Balcony of Alps Echo des Montagnes/The Echo of The Mountains

Television Videotape House keeping Sheets Washing linen

VOS COORDONNEES :

CIVILITE              Mister     Madam     Miss

(*) Obligatory field.

At the time of the sending of this form, your navigator will communicate us the E-mail address of your current workstation.
However, we will systematically answer you, with the address that you provided us in this form; this of your current station could be useful for us, only if one syntax error had been made during your data entry, turning over us an invalid address.