HOTEL DERBY GARIBALDI
92 boulevard Garibaldi
75015 PARIS
Tél : 01 53 86 83 83
- Fax : 01 53 86 83 40
RESERVATION
Name
First name
Company
Adress
Zip Code
City
Country
E-mail
Phone number
Fax
Type of rooms :
Single
0
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9
10
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16
17
18
20
Double
0
1
2
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4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
20
Triple
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
20
Quadruple
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
20
Number of people
Adults
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
20
Children
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
20
Day of arrival (D/M/Y)
Check-in time
Day of departure (D/M/Y)
Number of nights
1
2
3
4
5
6
7
8
9
10
Special request :
VISA
AE
EUROCARD MASTERCARD
JCB
DINERS CLUB
CB
Card number :
Valid until :
if you press on "Enter", your request will be e-mailed unprotected.
Booking will be confirmed only after the hotel agreement.
For safety reasons, you can print this page and mail it to us or fax it to following number :
33 (0)1 53 86 83 40.
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