Inscription Form for
Main Spa entrances to Caldea
with accommodation

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Information on the person making the reservation
First Name: 
Last Name: 
Address:

Postal Code: 
Town: 
Country: 
Tel: 
Fax: 
E-Mail (without spaces etc.): 
Send all correspondence in: 
Comments: 

 
Information on the hotel 
Hotel chosen:
Please enter 1st an 2nd choice of hotel, separated by a comma
Arrival (dd/mm/yy): 
Arrival Time: 

 Rooms required:  Single(s) 
Double(s) 
Triple(s) 
Departure (dd/mm/yy):   Board: 

Reservations for the Main Spa at Caldea

Amount of
Adults
Amt of children*
 (5-12 yrs)
Day
dd/mm/yy
Time
hh:mm
Caldea Entrances
                        * the entrance price for children aged 7 to 12 is 18,50 Euros


Treatments to add (optional)
If more than one person want the same treatment, you may enter the amount of persons  between ().  
Example: John Miller (6 pers.)  Treatment(s): Massage 20'

Names of persons:
Treatment(s):

 
Payment
 I would like to pay by: by cheque in EUROS that I will send by post
Postal order*
Bank Transfer*
* charges at my cost.  I will send a copy of the receipt by fax



International Credi Card: Visa, Mastercard etc.(American express not accepted)
 
Credit Card number: 
Expiry date: 
Amount to charge:  of total invoice

Note: Your card will be charged when we send you the confirmation.  Credit cards are not charged using Internet for security reasons.

Note:
20% of reservations received have an incomplete or wrong E-mail and are therefore erased.  What about yours?

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