Port du Crouesty
56640 ARZON
Tel: +33 (0)826 005 006
Fax: +33 (0)2 97 53 49 99
e-mail: reservation@miramarcrouesty.com
Home page: www.miramarcrouesty.com
Proposal Request
Thalassotherapy Treatments
  * Indicates a mandatory field
Your arrival date
Duration of stay*
Number of guests for treatment (over 16 years of age)*
Hotel or accommodation name
 

Your contact information
Guest 1
Title
Last name*
First name*
Address*
Postal Code*
City
Country
Home telephone
Work telephone
Mobile phone
Fax
Email*
 
Guest 2 (if contact information is different from Guest 1)
Title
Last name*
First name*
Address*
Postal Code*
City
Country
Home telephone
Work telephone
Mobile phone
Fax
Email*
 
Guest 1 desired treatment
Guest 2 desired treatment
 
Desired à la carte Treatments
 
How did you hear about us?*
 
This form constitutes a rate proposal request Your reservation will only be effective upon receipt of confirmation from Miramar Crouesty and your acceptance of our sales terms and conditions