Last minute deal form Are you interested in a last minute deal? Please fill in the form below.Date of arrival* Date of departure* Full name* Adress* Zip code* City* Country Phone number* Fax Number Email adress* Bungalow type* Bungalow 33 Number of adults* -- -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Number of children* 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Huisdieren Ja Nee Rent sheets? Yes No Extra's: (All these extra's are booked free of charge)Chair for small child Yes No Bed for small child Yes No Walker Yes No Shower chair Yes No Remarks Fill in code* * Mandatory fields Powered By ChronoForms - ChronoEngine.com
