Coste Perrier form

Company
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First name	*
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Street	*
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Please, make your selection:

Property	Marquises RW+LW (14p) Marquise RW (8p) Marquise LW (6p)
Adults	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14	Children > 13 years	0 1 2 3 4 5 6 7 8 9 10
Children < 13 years	0 1 2 3 4 5 6 7 8 9 10	Babies < 2 years	0 1 2 3 4 5
Arrival date		Departure date
Total rental price	Euros	First payment (25%)	Euros
Animals/pets are not allowed on the property. All the buildings are non smoking areas.

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