33 rue de Saint Petersbourg
75005 Paris
Téléphone : (33) 01 43 87 53 82
          Fax : (33) 01 43 87 91 08
               e-mail : regence@hotelserotel.com

To make reservation, please complete the following form.

Mr Mme Melle
Name:
First name:
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Availability
Arrival:	January February March April May Jun July August September October November December
Hour :
Departure:	January February Mach April May Jun July Auguste September October November December
Number of night :
Room type:
Chois:

Number	Type	Price
	Single Supérieur	720 FF
	Double Standard	720 FF
	Double Supérieur	950 FF
	Twin Standard	720 FF
	Twin Supérieur	950 FF
	Triple Supérieur	1000 FF
	Family rooms (2 communicating rooms)	1300 FF
Put tick in boxe
	Breakfast buffet	70 FF
If you want more information

As GUARANTEE and to confirm your booking, please give us the following information, or send them by fax with your booking request, using the Hotel's fax number :
Credit card.

                          Name :
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            Expiry date:

As soon as we receive your message, we shall confirm your reservation request.
Please verify the information before validating by pressing the "Submit" button.