Form on Bleu Vert Reunion

e-mail: bleuvertreunion@nathetchris.com	General Commercial Information
Tél. 06.92.66.57.79 Fax. 02.62.33.49.75	By postmail: Résidence NATH et CHRIS Villa les manguiers 95, ave. du Général de Gaulle 97434 St Gilles les Bains Île de la REUNION

Form of information
for your personalized estimate an available funds
( without commitment of your part )

ATTENTION: the informations marked in red should be necessarily performed.

The information concerning you is intended for Nathetchris. We can be brought to pass on them to our commercial partners.
If you wish it, mark the radio bottom of the form.

You have access, modification, deletion, datas concerning you.
( art. 34 of law "data processing and liberties ").


Name
First name
Adress
Postal code
City
Country
Phone
Fax
Mailing adress
YOUR CHOICES TO ESTABLISH THE ESTIMATE
Arrived: Departure:
Chidren	Yes No	Number:
Reserve
With TV 36cm	Yes No
With radio CD	Yes No
OPTIONAL PACKS
Ride Family	Yes No
Pack adults	Yes No	Number wanted pack:
Pack childrens	Yes No	Number wanted pack:
Pack Intense sports	Yes No	Number wanted pack:
Pack fishing sport	Yes No	Nber Fisherman: Nber Accompanying:
Comments
Can we pass on your coordinates to our partners? Yes No

Thank you for your visit, we'll answer you under 24 hours.