With this form, you can carry out a reservation request.
Indicate well the number of the room and the date back to your stay.
We will reply you as soon as possible !
Please fill completely the following form. Thank-you a lot !
Title :
Mr
Mrs
Miss
Corporation
Firt name :
*
Surname :
*
Company :
Address :
City & country:
Zip Code :
Phone :
*
Mail :
*
Mobile phone :
Nb adults
:
Nb children :
less than 5 years
Accomodation :
choose your room
Room n°2
Room n°7
Room n°8
Room n°9
Room n°10
Duplex
Select a room
Breakfast :
-
Yes
No
Beginning of the stay :
End of the stay :
Questions :
Manoir de Rouessé - 4, rue Salvador-Allende - 53000 Laval - France
Tel-Fax : 02 43 69 94 03 - Mobile Phone : 06 08 62 52 04