book a room at the hotel residence la Quintinie Square – Paris 15th

To reserve your room please fill out the following form
which we will return with a confirmation:

First name:
Surname:
Address:
Zip code:
City:
Country:
Phone:
Fax:
E-mail:

Room type:
Date of arrival (dd/mm/yy):
Number of nights:
Date of departure (dd/mm/yy):

Payment:	Master card CB VISA American Express Diner's Club
Card Number:
Expiration Date:

Comment:

Hôtel Résidence Quintinie Square - 5 rue la Quintinie -75015 Paris
Tél : 33(0)1 47 83 94 34 - Fax : 33(0)1 42 73 32 80
E-mail: quintinie15@wanadoo.fr

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