PROVOBIS SERGEL PLAZA HOTEL

Arrival date (dd/mm/yy)


Departure date (dd/mm/yy)


Number of Adult    

Number of Children    


Number of rooms
Single       Double      Twin   



Arrival Time :   
Via :   



First Name :

Last Name :

Travel Agency : IATA N° :
Company Name :
Address :
Zip/Postal Code : City : Country :
Phone : Fax :
E-mail Address :



Comments :


Prestige & Frequent Flyer Account :

Card
Card Number
Exp. Date (mm/yy)


Confirmation by Credit Card

Owner Name
Exp. Date (mm/yy)
Card
Card Number


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We understand that for security reasons you might not feel comfortable sending your reference over the Net. In this case please fax it at (33)(1)40 71 21 31 or call (33)(1)40 71 21 21


A confirmation of your booking will be sent very soon by e-mail.

We are looking forward to welcoming you at one of the Concorde Hotels.






In accordance with the French Data Protection Law (January 6, 1978), we inform you that you have the right to access, change, edit or delete any of your personal data (art. 34).
To exercice this right, contact gtilly@concorde-hotels.com or Concorde Hotels, Marketing Department, 83 Boulevard Exelmans 75016 Paris, France