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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
Eurocard
VISA
American Express
Diner's Club
Card Number:
Expiration Date:

Comment:

Hotel Etats-Unis Opéra - 16, rue d'Antin, 75002 PARIS - Tel. (33) 1 42 65 05 05 - Fax (33) 1 42 65 93 70 - Email: us-opera@wanadoo.fr
Copyright © 2006, Hotel Etats-Unis Opéra, All Rights Reserved
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