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Name:
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Nationality:
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Address:
(Address 1)
(Address 2)
Telephone #:
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Fax #:
Email:
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Arrival Date:
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Departure Date:
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Purpose ofthe visit:

 

 

Beach holiday
Diving
windsurf & kitesurf
Climatotherapy
Others (please specify the reason of your visit)
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Room Type:
Room Category:
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Number of Adults
Number of child under 6:
Number of child (6 – 12 years):
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