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PITCH RESERVATION
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| Nom/Last Name : |
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| Prénom/First name : |
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| Adresse/Address : |
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| Code postal/Post Code : |
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| Ville/City : |
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| Pays/Country : |
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| Téléphone : |
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| E-mail : |
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I want to make a reservation for
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Rappel : un seul véhicule par emplacement .
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Nombre de personne/number of people
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| Adulte / Adult 18 + : |
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| Adolescent / Teenager -18 : |
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Age : ans |
| Enfant / Child -7 : |
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Age : ans |
| Chien / Dog : |
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| Electricité / Electricity 10A : |
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Dates/dates
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Du / From / /10 , au / to / / 10 (JJ/MM - DD/MM)
Reservation fee : 16 €
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PAYMENT Schedule
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First payment of 54 € plus a reservation fee of 16 € (a total of 70 €) is due upon reservation.
The rest of payment is due upon arrival.
I want to pay by :
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Chèque/Cheque
Carte de Crédit/Credit Card
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N° Carte/ Card Number :
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Date - MM/YY : /
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Cryptogramme :
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You must print and send this booking form with your first payment. Please remember to fully complete and sign the form.
When we receive your first payment we will send you a confirmation letter.
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| Fait à : |
Le : |
Signature / Visa : |
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