Reserveren

<BODY BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="4d200c00egerdp.jpg" LINK="#FFFFFF" ALINK="#FFFFFF" VLINK="#FFFFFF">  <div> <I>Reserveren</I></div> <div> <A HREF="index.htm" TARGET="_top" TITLE="Entre Deux Pays ardennen bedbreakfast sp"><B>Bed&Breakfast "Entre Deux Pays" Spa</B></A></div> <bR> <div> <FONT SIZE="4" COLOR="#FFFFFF" FACE="Garamond" ><A HREF="index.htm" TARGET="_top" TITLE="Entre Deux Pays ardennen bedbreakfast sp"><B>Home</B></A></FONT>    <A HREF="ardennen_fietsen_lopen_durbuy_weris__b_b_groepshuizen_vakantiehuizen_chalets_hot.htm" TARGET="_top" TITLE="Contact">Contact</A><B>   |   </B><A HREF="fotos_bb.htm" TARGET="_top" TITLE="Fotos BB">Foto's B&B</A><B>   |   </B><A HREF="id29.htm" TARGET="_top" TITLE="Kamers">Kamers</A><B>   |   </B><A HREF="id26.htm" TARGET="_top" TITLE="Prijzen BB">Prijzen B&B</A><B>   |   </B>Reserveren<B>   |   </B><A HREF="ardennen_bed_breakfast_ardennen_overnachting_de_mooiste_vakantiewoningen__chalet.htm" TARGET="_top" TITLE="Ardennen Spa ">Ardennen Spa </A><B>   |   </B><A HREF="het_weer_in_de_ardennen.htm" TARGET="_top" TITLE="Het weer">Het weer</A><B>   |   </B><A HREF="links.htm" TARGET="_top" TITLE="Links">Links</A></div> <bR> <bR> <div> <B>Wij accepteren helaas geen creditcards en er zijn </B><B><U>geen </U></B><B>pinmogelijkheden.     </B></div> <div> <B>Boekingen in het weekend: minimaal twee nachten.</B></div> <div> <B>Inchecken: vanaf 15.30 uur</B></div> <div> <B>Uitchecken: voor 11.00 uur</B></div> <bR> <div> <B>Binnen 8 uur na uw boeking ontvangt u van ons bericht.</B></div> <div> <B>Als dit niet het geval* is neemt u dan contact op via: </B></div> <div> <B>  </B></div> <div> <B>Telefoonnr.  </B><B>0032(0)87 775510</B></div> <div> <B>GSM           </B><B>0032(0)478327554</B></div> <bR> <div> <B>* </B><B>soms komen mailberichten in de spambox terecht</B></div> <bR> <div>    <form enctype="multipart/form-data" method="post" action="http://www.response-o-matic.com/mail.php" accept-charset="UTF-8"> <div> <input type="hidden" name="acctid" id="acctid" value="3z6wuro1su8whks5" /> <input type="hidden" name="formid" id="formid" value="947984" /> <input type="hidden" name="required_vars" id="required_vars" value="name,email,field-e94346210d76404,field-814dab4cefb4f14,field-c02c1ce051c6487,field-64e02f8385c92fb" /> </div> <table cellspacing="5" cellpadding="5" border="0"> <tr> <td valign="top"> <strong>Voor- en achternaam</strong> </td> <td valign="top"> <input type="text" name="name" id="name" size="40" value="" /> </td> </tr> <tr> <td valign="top"> <strong>E-mail</strong> </td> <td valign="top"> <input type="text" name="email" id="email" size="40" value="" /> </td> </tr> <tr> <td valign="top"> <strong>Adres</strong> </td> <td valign="top"> <input type="text" name="field-e94346210d76404" id="field-e94346210d76404" size="40" value="" /> </td> </tr> <tr> <td valign="top"> <strong>Postcode en woonplaats</strong> </td> <td valign="top"> <input type="text" name="field-814dab4cefb4f14" id="field-814dab4cefb4f14" size="40" value="" /> </td> </tr> <tr> <td valign="top"> <strong>Telefoonnummer</strong> </td> <td valign="top"> <input type="text" name="field-c02c1ce051c6487" id="field-c02c1ce051c6487" size="40" value="" /> </td> </tr> <tr> <td valign="top"> <strong>Aantal personen</strong> </td> <td valign="top"> <input type="text" name="field-d6a7b5d4a21744a" id="field-d6a7b5d4a21744a" size="40" value="" /> </td> </tr> <tr> <td valign="top"> <strong>Gewenste boekingsdatum/data</strong> </td> <td valign="top"> <input type="text" name="field-64e02f8385c92fb" id="field-64e02f8385c92fb" size="40" value="" /> </td> </tr> <tr> <td valign="top"> <strong>Welke kamer(s)</strong> </td> <td valign="top"> <input type="checkbox" name="field-06c49880a1e11c1[]" id="field-06c49880a1e11c1_0" value="1.01 [luxe]" /> 1.01 [luxe]<br/> <input type="checkbox" name="field-06c49880a1e11c1[]" id="field-06c49880a1e11c1_1" value="1.02 [3/4 pers.]" /> 1.02 [3/4 pers.]<br/> <input type="checkbox" name="field-06c49880a1e11c1[]" id="field-06c49880a1e11c1_2" value="2.01 [4 pers.]" /> 2.01 [4 pers.]<br/> <input type="checkbox" name="field-06c49880a1e11c1[]" id="field-06c49880a1e11c1_3" value="2.02 [2 pers.]" /> 2.02 [2 pers.]<br/> <input type="checkbox" name="field-06c49880a1e11c1[]" id="field-06c49880a1e11c1_4" value="3.01 [2/3 pers.]" /> 3.01 [2/3 pers.]<br/> <input type="checkbox" name="field-06c49880a1e11c1[]" id="field-06c49880a1e11c1_5" value="3.02 [2 pers.]" /> 3.02 [2 pers.]<br/> </td> </tr> <tr> <td valign="top"> <strong>Hond mee?</strong> </td> <td valign="top"> <input type="radio" name="field-4de6933196e330e" id="field-4de6933196e330e_0" value="ja" /> ja<br/> <input type="radio" name="field-4de6933196e330e" id="field-4de6933196e330e_1" value="nee" /> nee<br/> </td> </tr> <tr> <td valign="top"> <strong>Opmerking(en)</strong> </td> <td valign="top"> <textarea name="field-4d6cdc2a23b7a49" id="field-4d6cdc2a23b7a49" rows="6" cols="40"></textarea> </td> </tr> <tr> <td colspan="2" align="center"> <input type="submit" value=" Reserveer " /> </td> </tr> </table> </form> <br><center><font face="Arial, Helvetica" size="1"><b> Put a <a href="http://www.response-o-matic.com">website form</a> like this on your site. </b></font></center>   </div> </BODY>