Reservation Form
First Name / Prénom:
Last Name / Nom:
Phone Number:
Post Address:
E-Mail Address:
Repeat E-Mail Address:
State/Province:
Country:
Zip/Postal Code:
Arrival Date / Flight n°:
Departure Date / Flight n°:
Number of persons:
Number of rooms (specify Double/Twin, Single, Extra bed):
Tour Name:
Budget per person (estimate):
Currency (euros / US Dollar):
Comments / Commentaires:
Thank you for booking your trip with us !!!
Contact:
MADAGASCAR ECOTOURS.
P.O. Box 8298 • Mahamasina Nord, Antananarivo 101
Tel.: (261) 20 22 262 15 • Fax: (261) 20 22 353 23
