Locaflat's apartment reservation form
LOCAFLAT FAX SECURE RESERVATION FORM
LOCAFLAT Formulaire de réservation à envoyer par fax

(please fill it before you print it and press the submit button to speed up the reservation process)
(veuillez le remplir avant de l'imprimer at appuyez sur le bouton "submit" pour accélérer la réservation)

Last name first in capitals, then first name in lower case
Nom de famille en majuscule, prénom en minuscule
NAME / NOM-prenom EMAIL
ADDRESS / adresse ZIP CODE / code postal
CITY/STATE / ville COUNTRY / pays
TELEPHONE FAX

RENTAL PERIOD / periode de location

ATTENTION: contracts can only start or end on open days (no Sundays or bank holidays) But you can check in or out anyday.
ATTENTION: Les contrats ne commencent que les jours ouvrables (hors dimanches et vacances) Mais vous pouvez arriver ou partir n'importe quel jours.

Dates of your stay ( month / day / yyyy - hour : minute) - Dates du séjour (mois / jours / année) :
Number of people:
FROM: -  :
ARRIVAL DAY		 TO: -  :
DEPARTURE DAY
Adults : Children :
Have you checked the apartment availibilities at locaflat.com/aptlist.html?
Avez-vous vérifié que l'apartement est disponible sur locaflat.com/aptlist.html?

APARTMENT WANTED - apartement désiré  example : Brancion5GD total PRICE of the rental (+5,5% tax+utilities)

prix total (+5,5% + divers)
Name the apartment (use the name from the apartment list) you would like to reserve in order of preference.

Nom de l'apartement (utilisez le nom provenant de la liste des apartements) que vous souhaitez réserver par ordre de préférence.		 choice #1: €
choice #2: €
choice #3: €

CONFIDENTIAL INFORMATIONS - informations confidentielles

- Credit Card number (numéro de carte de crédit): (VISA, Mastercard) (no spaces or "-" please)
(16 + 3 numbers on the back of your card, beside your signature) - (16 chiffres + les 3 chiffres derrière votre carte)
- Card's owner name (nom du propriétaire de la carte): - Expiration date (month and year) - date d'expiration (mois et année):
You can enter a password in order to later access your billing information application (http://www.locaflat.com/billing.html):
It will be your family name in low cap or choose an other password: . Re-enter the password: .
The credit card is only a guarantee for the reservation - we will not debit your credit card- Signature to confirm

the reservation :
   I will send 30% of the full rental now by bank transfer, bank check or by Travelers checks
(balance on arrival or before preferably)
   I will send the full rental 1 month before arrival by bank transfer, bank check or by Travelers checks (compulsory if airport transfert or late or sunday arrival)
  Only if arrival less than 2 weeks, I will pay 100% on arrival by cash, Travelers or bank check ($ or €), no credit card.
   I wish to be charged 5% extra for cancellation and damage insurance.
I wish to be picked up at the airport for the cost of (click to see the exact cost)

I wish to hire these extras (available items and costs)

REASON OF YOUR VISIT :
HOW DID YOU GET TO KNOW US ?   OTHER:
If you found us through a search engine, please tell us which keyword(s) you used (ex:"apart in Paris")
If you have made several searches, on which keyword you did not find us

CHECK THE CONDITIONS FOR RESERVATION

CHECK THE FAQ (frequently asked questions)

CNIL List Restrictions - Loi Informatique et liberté

for further informations:
LOCAFLAT
63 avenue de la Motte-Picquet

To confirm your reservation, please fax us these form at : 33 1 40 56 99 69 with your signature and your credit card information

AND
Click on (secured transaction)

Let us know if you like to be pickup from the airport 77 € up to 3, 107 € up to 5 and 149 € up to 8 people