€uros convertor

FORM
Please complete the form below.

     
 
First Name
  
 
Last Name
  
 
Address
  
 
Postal code
  
 
City
  
 
Country
  
 
Phone
  
 
Fax
  
 
e-mail
  
 
Special request
  
 
ARRIVAL DATE
   
 
DEPARTURE DATE
   
 
N° nights  
  
 
N° rooms  
  
 
N° of persons
  
 
Type of accomodation

 
 

METHOD OF PAYMENT

 
 
50 % of the total reservation by
 Cash Credit card  
 
Balance:50 %: 45 days before arriving

Cash Credit card

 
 

If payment is done
by cash please send it at the order of :
Philippe Premat

Villa Coralia
Les Jardins d'Orient Bay, 27
97150 - Saint Martin

As soon as we'll receive your payment your reservation will be confirmed

 
 
PAYMENT BY CREDIT CARD
 
 
Choose your credit card
  
 
Card number
  
 
Date validity
  
 
Total reservation

 
 
I AUTHORIZE YOU TO DEBIT MY CREDIT CARD
FOR THE AMOUNT OF :
 
 

CORRESPONDING TO  20% of the total of the reservation
THIS DEBIT WILL BE DONE AFTER OUR CONFIRMATION