Dear future Customers, please fill in the following information :

Loire Valley Car Touring
18, rue des Vallées Tél: +33 (0)6 82 00 64 51
37400 AMBOISE - France Fax: +33 (0)2 47 57 67 13
* (Compulsary information)

References customers
Family Name :
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First Name :
Address :
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Name of the hotel where you will stay the day of the tour : *
Address : * The phone number of your hotel : *
 
  Date of service Type of service Type of vehicles Number of
participants		 Place of departure Other place departure
 
 
 
 
 
Description of the trip :

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