Hôtel Le Clos d'Amboise 27, rue Rabelais 37400 AMBOISE - FRANCE Tél. : 33 (0)2 47 30 10 20 Fax : 33 (0)2 47 57 33 43 www.leclosamboise.com   RESERVATION ORDER For reasons of securisation to dispatch Data, send us the reservation order by fax : 33 (0)2 47 57 33 43. Or send it by post mail. You can also send this reservation order by Email : As we receipt your reservation order, we confirm you the disposability.   Last Name : .......................................... First Name : ..........................................   Address : .................................................................................................. City : .......................................................   Country : ............................................... Phone : ................................... Fax : ..................................................... I would like to reserve: Date: .......................................... Number of nights: ........... Number of persons: .......... Number of rooms: .......... Sort of room : � Room Category 1 � Room Category 2 � Room Category 3 � Room Category 4 � Room Category 5   Cancellation Policy : One Night will be charged in the event of à no show or a cancellation with less than 3 days notice prior to the date of arrival   Number of your Payment card for guarantee |__| Visa - |__| Mastercard - |__| Eurocard - |__| Diners - |__| American Express Number :  |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| Expiration Date :     |__|__|    |__|__| Date : Signature :