If you wish to receive a complete documentation on les THERMES BEROT baths and an offer of reservation, please fill the form bellow : Les Thermes Berot 16, rue Louis Barthou - B.P. 156 40 104 DAX Cedex - FRANCE Tel. : +33 (0)5 58 90 40 00 - Fax : +33 (0)5 58 90 40 02 E-mail : THB@berot.com Civility Mister Madam Miss Surname * First name Adress * Post code * City * Country Telephone Fax E-mail * Comments A reply by E-mail Fax Postal Mail   *Obligatory fields Please send me as soon as possible an accomodation proposition for the requirements below : We will send our proposition by return. You will then have eight days to return it signed along with your deposit. For further information (choice of dates, type of apartment, extra services, etc.), do not hesitate to contact us. Reservation date --------------- January Febrary Mars April May June July August September October November December Day --- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Number of days --- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 Type of apartment ---------------------------- Mobility facilitated Studuio 2 beds Apart. 2 + 2 beds Angle 2 + 2 beds Number of adults --- 1 2 3 4 Number of children --- 1 2 3 4 Number of animals --- 1 2 Garage ----- Yes No “In accordance with the law of 6 January 1978 relating to data processing, files and liberties, you have the right to access, communicate and modify the data that has been asked of you, and which is necessary for the processing of your order. This information shall remain confidential, it shall not be disclosed to any third party. No data exchange by virtue of file cross-referencing will be executed”.   Les Thermes Berot - 16, rue Louis Barthou - B.P. 156 - 40 104 DAX Cedex - FRANCE Tel. : +33 (0)5 58 90 40 00 - Fax : +33 (0)5 58 90 40 02 - E-mail : THB@berot.com

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