HOTEL DERBY EIFFEL
5 avenue Duquesne
75007 PARIS
Tél : +33 (0)1 47 05 12 05 - Fax : +33 (0)1 47 05 43 43
RESERVATION
Name
First name
Company
Adress
Zip Code
City
Country
E-mail
Phone number
Fax
Type of rooms : Single
Double
Triple
Quadruple
Number of people Adults
Children
Day of arrival (D/M/Y)
Check-in time
Day of departure (D/M/Y)
Number of nights
Special request :
VISA AE EUROCARD MASTERCARD
JCB DINERS CLUB CB

Card number :
Valid until :

Please note !
if you press on "Enter", your request will be e-mailed unprotected.
Booking will be confirmed only after the hotel agreement.

For safety reasons, you can print this page and mail it to us or fax it to following number :

33 (0)1 47 05 43 43.
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