Estimate or pre booking

If you want to get a free and individual estimate, please fill in the following fields

Stage 1 : Information concerning your stay

Date	Arrival date*:	- -
Date	Departure date*	- -

Hotel option**	HOTEL NORMANDY BARRIERE 5*** HOTEL ROYAL BARRIERE 5*** CURE SANS HEBERGEMENT

Participants	Number of participants*
	Including persons having hydrotherapy

Stage 2 : Participants of the trip

	Nom	First name	Date of birth
You/1^st participant*
2^nd participant
3^rd participant
4^th participant
			(for the centre doctor)

Stage 3 : Your address and telephone number

Your address :	Adress:
	Post code:
	City:
	Country:

Communication	Email *:
	Verify E-mail*:
	Telephone number to reach you*

Autres Informations	Write here any piece of information you think necessary to give : Specific cure (young mother, slimness, back...), full board, sea view, children, babies, transport, departure city, etc...

Please fill in all required fields indicated with a star* at the end

Confidentiality : our commitment

The information collected is exclusively reserved for Allô Thalasso (CNIL Declaration N° N°1199659), responsible for the treatment of your requests. In no way datas will be sold or rent to an external organization or firm.

In accordance with the "Computers and Liberties" law dated 6^th January 1978, you can access, correct or disagree your personal datas.

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