I
nformation form
Your stay:
Beginning's date
Date wished (optional):
1st
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
JANUARY
FEBRUARY
MARCH
APRIL
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
2005
2006
2007
2008
Duration
2 DAYS
3 DAYS
4 DAYS
5 DAYS
6 DAYS
7 DAYS
8 DAYS
9 DAYS
10 DAYS
11 DAYS
12 DAYS
13 DAYS
14 DAYS
15 DAYS
Number of people
10
11
12
13
14
15
16
17
18
19
20
22
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Age range and number of people corresponding :
8/11 years
11/13 years
14/15 years
16/20 years
21 and more
Your organization:
Work's council
College
School
Individual
Town hall
Association
Your co-ordinates:
Mr
Mrs
Miss
Surname
First name
Address
Postal code
City
Country
Telephone
Fax
Email
Note:
At the time of the sending of this form, your navigator will communicate us the E-mail address of your current workstation.
However, we will systematically answer you, with the address that you provided us in this form; this of your current station could be useful for us, only if one syntax error had been made during your data entry, turning over us an invalid address.
