Pension Marijke - Reservation

For reservations through internet, please fill out the form as complete as possible.
The information marked with an ‘*’ is obligatory in order to make your reservation.

Gender*

MaleFemale Required!

Initials*

Required!

Surname*

Required!

Companyname

Required!

Address*

Required!

Number*

Required!

Zip code*

Required!

City*

Required!

Telephone

Required!

E-mailadres*

Fax

Ongeldige invoer

Date of arrival*

Required!

Date of departure*

Required!

N° of overnight stays*

Required!

Room type*

Required!

N° of persons*

Required!

Questions or remarks

> We inform you that this reservation is final after receiving our confirmation. Incomplete or incorrect applications will not be handled.