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Do not hesitate to contact us if you wish any further information or please print and complete the form below :
Fax : 32(0)84/38.93.88
Order formName : ....................................... First name : .......................................... Address : .............................................................................................................................. Telephone : ........................... Fax : ............................. E-mail : ....................................................... O I wish to receive full information concerning your hotel together with the price list O I wish to be contacted in order to chose most suitable formula O I wish to order ....... voucher(s) of the amount of ........ €. To ................................................................... from ................................................................ Additional text (ex : On the occasion of, congratulations for ....) ....................................................................................... To receive my voucher : O I transfer the total amount to the bank account : FORTIS :
001-2674405-94
IBAN BE87 0012 6744 0594 BIC GEBABBEBB O I allow the hostel "Le Ry d'Ave" to charge the amount from my credit card type ........................................ n° ............................................. Date of maturity ........................................ |