1. Name of the customer:
2. Address of the customer (which will figure in the accommodation contract):
3. Telephone No. of the customer (preferably a mobile telephone):
4. E-mail of the customer: Send a copy of this form to this e-mail address:
5. Date of Your arrival:
6. Date of Your departure:
7. Number of persons with an age of above 10 years:
8. Number of children under the 10 years:
9. Number of children under the 3 years, sleeping with their parents, or in a child-bed (please, mention this).
10. Special wishes, questions, remarks, further specifications...
Omlouváme se, ale z důvodu nezbytné obrany proti robotům je nutné opsat kód z obrázku:
We will recieve the information of this form by e-mail.
We will do our best to react within 2 workdays.
We will send You the accommodation contract by e-mail, as a pdf-document.
Pension Javořice, Lhotka 10, 588 56 Telč, CZ. Tel.: +420 567 317 111, Mobil: +420 776 158 581, e-mail: pension, Updated in: 05 - 2011 Translation: Caspar Jacobs. remarks (c) design studio Pomezí