Company Name :

Siret Number :

 APE Code :

Negotiator :

Address :

City :

Postal Code :

Telephone. :

Fax :

Website :

E-mail :

Date of rental :

1 hour indivisible (according to plan)

From

h

to

h

Morning : from 7:00 am to 1:00 pm

Afternoon : From 2:00 pm to 8:00 pm

1 Day : from 7:00 am to 8:00 pm

Added days (explains in remarks with further detail)

Nb of breakfasts                         

Utilization of :

Overhead projector

Other :

Other :

Téléphone

Fax :

Other :

Remarks