Destination* Destination*VerbierZermattJura NeuchâteloisHaute-RouteCorseVal d'AosteDolomitesPyrénéesSierra di Guara

Date of stay* Date of stay*June 30-July 6July 7 - 13July 14 - 20July 21 - 27July 28 - August 3August 4 - 10August 11 - 17August 18 - 24August 25 - 31September 1 - 7September 8 - 14

Mrs. / Mr* Mrs. / Mr* Mrs. Mr.

Last Name*

First name*

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Date of Birth*

Place and date*

Signature*