Name  

  First name  

       Adress   

    ZIP Code   

             City  

       Country  

         E-mail  

Do you wish to receive information and be regularly informed about news and events held in Lacanau ?
          YES  (notch this box, only if you have an e-mail adress)

Do you envisage a stay in Lacanau ?
          Yes
          No

If YES :
   - when ?   (month)

   - for how long?
          less than one week
          one week
          2 weeks
          more than 2 weeks

    - which lodging type do you prefer ?  
     

   - for how many people ?     persons


Do you wish to receive a brochure about Lacanau ?
          Yes
          No

Your question or comments :