Firma / Firm:
Fornavn / First name:
Etternavn / Last name:
E-post / E-mail:
Telefon nummer / Phone number:
Antall rom / Number of rooms: Enkle / Single: Doble / Dubble:
Røyk / Smoke:                       
Ikke røyk / None smoking:
Opphold / Stay : Fra / From: Til / To:
Betaling / Payment  Visa Mastercard Amex DinersEurocard Kontant / Cash 
Emne/subject:
Tilleggs info / additional info