122 boulevard de la Chapelle 75018 Paris Métro Barbès-Rochechouart (line 4)
Telephone : 01 42 23 45 64 Fax : 01 42 23 54 24
e-mail : friends@paris-hostels.com
Last Name
First Name
Adress
City
Province/State
Postal Code
Country
Telephone
Fax
E-mail
Credit Card
Visa Amex Mastercard Diners Club
Name of the credit card holder
Card number
Expiration date (month/year)
Comments
Date of arrival (day/month/year)
Date of departure (day/month/year)
Number of men (less than 10 people)
Number of women (less than 10 people)
Names of Group Members
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