Reservation request form

INFORMATION
This form is not a firm engagement but only a request. We will answer you as soon as possible to confirm you availabilities, tariffs and conditions of reservation.
Title :
Name * :
First Name * :
Phone Number * :
E-mail * :
THANKS TO INDICATE YOUR ARRIVAL AND DEPARTURE DATE SIZED DD/MM/YYYY
Arrival date :
Departure date :
THANKS TO INDICATE THE TYPE AND NUMBER OF ROOM(S) REQUESTED
Single/ Double :
Twin Bedded :
Family room :
Your comments :
The crossed fields are obligatory
Those informations are for Balladins hotel of Brest use only. We could use those informtaions for prospect operations. if you do not wish
Tick off the box :
Antispam
All information about you is for the use of Balladins Hotel of Brest only. It cannot be used for another purpose. You have a right to consult, modify, correct or suppress data about yourself (art. 34 of the "Computers and Liberties" law - 6 January 1978). To exercize that right, please contact us : Hotel Balladins, 253 rue du général Paulet, 29200, BREST, FRANCE.