Reservation Mobil Home at The Cap du Roc Campsite, at Port la Nouvelle in Aude Country

Please fill (perform) the form and
send it to us by e-mail.
The booking will be actual from the reception
of a payment of 30 % of deposit and 23 Euros
booking expenses made by
Check / mail or mandate, sent in:

CAP DU ROC
Camping • Caravaning ***
11210 PORT LA NOUVELLE • France
Phone : 00 33 4 68 48 00 98
Fax : 00 33 4 68 48 64 55

• Reservation Mobil homes • Reservation Places

Name:
First name:
Address:
Postal code:
City:
Country:
Phone:
Fax :
E-Mail:

	Name and first name	Ages
1
2
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6

I declare to have acquainted with the conditions and the loads (responsibilities) and accept them.

Date of arrival:		at 2 PM
Date of departure:		at 10 AM

SUPPLEMENTS
	Supplementary sleeping around
	Supplementary tent
	Supplementary vehicle
	Child -7 years
	Animal

Insurance Cancellation
Week(s):	x Euros per week	=

Holiday tax 0,50 Euro per day and per sleeping around.

Amount of the stay:	Euros
Booking expenses:	Euros

Payment (30 % of amount + booking expenses) :	Euros
Type of payment:	Visa
	MasterCard

required

CAP DU ROC Campsite • Caravaning

11210 PORT LA NOUVELLE
Phone: 00 33 4 68 48 00 98 • Fax: 00 33 4 68 48 64 55 •

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