FORM
Please fill out the form below.

     
 
surname
  
 
first name
  
 
address
  
 
postal code
  
 
town
  
 
country
  
 
phone
  
 
fax
  
 
e-mail
  
 
special request
  
 
 
TARIFFS 2000-2001
Tariffs en FF
AMELINE - 1 or 2 people FF 300/day
FF 2000/week
FF 3000/15 days
FF 5000/month
AMELINE - 3 or 4 people FF 450/day
FF 2800/week
FF 4000/15 weeks
FF 7500/month
SABRINA - 4 or 6 people

FF 500/day
FF 3500/week
FF 5000/15 weeks
FF 8000/month
 
ARRIVAL DATE
   
 
N° nights  
  
 
N° rooms  
  
 
N° of persons
  
 
Type of room
  
 

METHOD OF PAYMENT

 
 
1) 20% of the total cost At the reservation by:
Cheque Credit card
 
 
2) Balance: 80% at the hotel after your arrival

Cash Credit card

 
 


If payment by cheque please send it at the order of :

DOMIEXEL Sarl

57 Av du Général DE GAULLE
97190 GOSIER
GUADELOUPE

As soon as we'll receive your cheque your reservation will be confirmed

 
 
 
 
SECURED PAYMENT BY CREDIT CARD
  
 
Choose your credit card
  
 
Card number
  
 
Date validity
  
       
 
Total reservation
 
 
I AUTHORIZE YOU TO DEBIT MY CREDIT CARD
FOR THE AMOUNT OF :
 
 

 
 

CORRESPONDING TO  20% of the total of the reservation

THIS DEBIT WILL BE DONE AFTER OUR CONFIRMATION