Thank youfor filling up this information form so we can suggest the best vacationpackage to meet your needs.
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Lastname 
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Firstname 
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Address
City
Country
Postalcode
Homephone 
Cellularphone
Howdid you hear about us ?
Youre-mail
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Numberof adults
Numberof children under 5 years old
Numberof children between 6 & 10 years old
 
Dated'arrivée prévue
Datede départ prévue
 
Typeof room 
Numberof room 
Questions& comments