La Cigale - Paris Experience

"Tout Paris à Vos Pieds"

[ Home ] [ Confirmation Page ] [ Guest Book ]
Availability Calendar - La Cigale  Availability Calendar - La Cigogne

BOOKING REQUEST FORM - FAX
SUBMIT BY FAX
PLEASE COMPLETE THE FOLLOWING FORM
(Make a copy and return it by fax to the following:)
La Cigale - Paris Experience
(317)257-4829

   
Arrival Date: ______________________

Number of Nights:_______            

Number of Guests (total): _______     Adults:   _______    Children (Under 12):_______

Last Name:______________________                         

First Name: _____________________                       

Street Address: ___________________                  

City:______________________     State: ___________ Postal Code:___________

Country: __________________                            

Telephone:_________________      Fax:______________________

Email Address:_______________                              

Additional questions, comments, or concerns:               

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________