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:
single room
double room
twin room
triple room
quadruple
Date of arrival (dd/mm/yy):
Number of nights:
Date of departure (dd/mm/yy):
Payment:
Master card
Eurocard
VISA
American Express
Diner's Club
Card Number:
Expiration Date:
Comment:
Hotel Belmont
30 rue de Bassano 75116 PARIS Tel: 33(0)1 53 57 75 00 Fax: 33(0)1 47 23 09 70
reservations@hotel-belmont.com
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www.lookotel.com
- Hotel Belmont all rights reserved
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