book a room at the hotel du Bresil - Sorbonne

Hôtel du Bresil
10 Rue Le Goff
75005 Paris
Tél : 33(0)1 43 54 76 11
Fax : 33(0)1 46 33 45 78
E-mail :
hoteldubresil@wanadoo.fr

RESERVATION

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:
Identify number (3 last numbers) :
Expiration Date:

Comment: