Domaine de l'Eau Vive
Le Roubreau - 07110 Largentière - Tél. 04 75 89 20 53

Booking Information Request
This reservation request is not an agreement form.
If availability, you will receive the rental agreement form by mail.
Please complete the contract and carefully sign it.
Thank you for including your payment when returning it.

Type of stay
Week Night   Week-end 
Formula
Room only Room, breakfast & diner  
Type of apartment
2/4 pers. apartment
4/6 pers. apartment
4/6 pers. VIP apartment
6/8 pers. VIP apartment
2/4 pers. apartment handicap Pet less than 10 Kg
NUMBER OF PERSONS
Total number Adults number Children number

Date of stay, from : till :

Name :
Company :
Address :
Zip Code :  City :
Country :
Phone :
Fax :
Email :

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