Chalet la Brise Reservation Form

First name *

Surname *

Email *

Phone / Mobile *

Arrival date: *
- Please select - 11 Dec 2010 18 Dec 2010 25 Dec 2010 1 Jan 2011 8 Jan 2011 15 Jan 2011 22 Jan 2011 29 Jan 2011 5 Feb 2011 12 Feb 2011 19 Feb 2011 26 Feb 2011 5 Mar 2011 12 Mar 2011 19 Mar 2011 26 Mar 2011 2 Apr 2011 9 Apr 2011

Staying for: *
- Please select - 1 week 2 weeks 3 weeks 4 weeks

Total in party: *
- Please select - 1 2 3 4 5 6 7 8 +

Adults:
- Please select - 1 2 3 4 5 6 7 8

Youth (10-18):
- Please select - 1 2 3 4 5 6

Children (2-9):
- Please select - 1 2 3 4 5 6

Infants (0-2):
- Please select - 1 2 3 4

Skipass:

Ski/Board hire:

Ski instructor:

If yes, how many days:
- Please select - 1 2 3 4 5 6 7

Please let us know of any special requirements your group might have (e.g. childcare, dietary preferences, private tuition enquiry, etc.). We will contact you to discuss these matters separately.

Your message (optional)