Reservation form

Form:

Personal data:

Name:
Year of birth:
Name (2nd person):
Year of birth (2nd person):

Street no.:
Place:
ZIP Code:
Country:

Phone:
Fax:
E-Mail:

Specification of the stay:

Stay:
Term (from):
Alternative term (from):
Lenght of the stay:

Accommodation:

Spa hotel:
Class of the room:

Board:

Choice:

Extra services (not included in price):

Garage: Surcharge EUR 6 per day
Surcharge EUR 8 per day

Bus transport: Bus transport Vienna-Luhacovice EUR 28 (only on Sundays)
Bus transport Luhacovice-Vienna EUR 28 (only on Sundays)

Other remarks:

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Lazne Luhacovice, a.s., Lazenske namesti 436, 763 26 Luhacovice, Czech Republic, Phone: +420 577 682 111, E-mail: reservation@spaluhacovice.cz