Please fill in the fields in bold, they can not be left blanck !
Title :
Name :
First name :
Company :
Function :
Address :
Pin code :
City :
Country :
Phone :
Fax :
E-mail :

I would like to know if it is possible to reserve for:
Arrival date (dd-mm-yy) :
Departure date (dd-mm-yy) :
Number of nights :
Double bed :
Twin beds :
Single room :
Room for 3 :
Room for 4 :
Remarks :
Hotel** La diligence
23 Place de la Mairie
67210 Obernai
tel : +33(0)3 88 95 55 69
fax : + 33(0)3 88 95 42 46
E-mail