Information is treated in the strictest confidence and will help us to make your stay as pleasant as possible. Although we try our best to satisfy personal requests, we cannot guarantee that this will always prove possible.


Date of Birth

Jacket Size

Menu: Fixed choice of meal for the first night:

Menu: Fixed choice of meal for the second night:

Special Diet Requests

Regular Medical Needs

No responsibility can be accepted should incorrect medical treatment occur as a result of information provided on this form being passed on in good faith. Please ensure information is accurate and complete.

Emergency Contact


Type of room: Double for single use B&B

Only non-smoking rooms are available to the “Hotel – type of room”- Info

Select Passport or ID Card

Passport or ID Card Number

Date of Expiry

Date of Issue


Please advise as soon as booked to help us plan airport transfers

Arrival Date Airport

Arrival Time Airport


Departure Date Airporte

Departure Time Airport


Extend your stay?

If yes, How many extra nights?

Rate per night: 192,50 EUR tax include

Check In:

Check out:

Credit card Expiry Date