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To reserve your room please fill out the following form
which we will return with a confirmation:
First name:
Surname:
Address:
Zip code:
City:
Country:
Phone:
Fax:
E-mail:

Room type:
Date of arrival (dd/mm/yy):
Number of nights:
Date of departure (dd/mm/yy):

Payment: Master card
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VISA
American Express
Diner's Club
Card Number:
Expiration Date:

Comment:

Résidence – Pension du Palais
78, rue d’Assas
75006 Paris
Tel : (33 1) 43 26 79 32
Fax : (33 1) 43 54 60 61
pensionladagnous@wanadoo.fr

Copyright © Résidence – Pension du Palais 2006 All Rights Reserved
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