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Application form for reservation of a bungalow or penthouse.
I do agree with the general conditions and wish to rent:


Bungalow for a weekend, midweek or week

type from to 

Exclusive penthouse 'Residentie Grand Hotel'

type from to 

Garage or parking place for hire
type from to 


name:
*
street: *
postal code: *
residence: *
tel: *
land:
e-mail

garage: number   children's chair
extra parking place   high chair
bundle of sheets/
singlebed		   children's bed
bundle of sheets/
double bed		   playpen
bundle of towels   parasol
pets   windscreen
cleaning   safe
participation in the costs for rerenting  

Extra remarks: