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Name
Address
Postal Code
Place
Country
Telephone
Fax
E-mail
Arrival date
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31
January
February
March
April
May
June
July
August
September
October
November
December
2008
2009
Departure date
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January
February
March
April
May
June
July
August
September
October
November
December
2008
2009
Room + type
Einzelzimmer
Doppelzimmer
Doppelzimmer Superior
Zweibettzimmer
Zimmer für Drei Pers.
Zimmer für Vier Pers.
Number of rooms
Credit card
none
VISA
Eurocard/Mastercard
American Express
Diners Club
Credit card number
Expires (Month/year)
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02
03
04
05
06
07
08
09
10
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12
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Extra comment or requests
Send or print and fax to Hotel 'Karel de Stoute' (Fax: ++32(0)50344472)
Hotel 'Karel de Stoute' - Moerstraat 23 - B-8000 Brugge
Tel: +32 (0)50 34 33 17 - Fax: ++32 (0)50 34 44 72
Email:
kareldestoute@pandora.be
