Booking in

Your coordinates:
Name
First name
Address
Postal code
City
Country
Telephone Mobile
Email
You prefer:
Gastronomic meal
Evening Spectacle
Dance meal
 Early evening dance

A spectacle of:
Dance cabaret
Traditional dance
............. Please , clarify:
Humorist
Musical group
.............. Please , clarify:

Please , clarify your preferences:
You wish:

Room in a guest house
Campsite in the farm
Meal of group
Attend in the evening
 Hold(retain) a table

Number of persons

Period of in

Subject

Please , clarify your wishes:
If you wish to send us a document, close to this form:

Jacques and Odette thank you, and wish you a lot of happiness, goodbye