Use the following reservation form,
and be automatically member of goto-anguilla.
You will get a 10% discount on the rental
rates .


FORM
Please fill out the form below.

 
 
 
Name
 
 
First name
 
 
Address
 
 
Postal code
 
 
Town
 
 
Country
 
 
Phone
 
 
Fax
 
 
e-mail
 
 
Special request
 
 

 
All Rates are plus 20% TAX & SERVICE CHARGE
APARTMENTS RATES INCLUDE CAR

April 1st, 2002 - September 30, 2002
One Bedroom Self Catering
US$ 165.00
Two Bedroom Self Catering
US$ 227.60
Three Bedroom Self Catering
US$ 360.00

October 1st, 2002 - December 14, 2002
One Bedroom Self Catering
US$ 165.00
Two Bedroom Self Catering
US$ 227.60
Three Bedroom Self Catering
US$ 360.00

December 15 , 2002 - March 31, 2002
One Bedroom Self Catering
US$ 196.25
Two Bedroom Self Catering
US$ 285.00
Three Bedroom Self Catering
US$ 560.00

 
ARRIVAL DATE
   
 
N° nights  
 
 
N° rooms  
 
 
N° of persons
 
 
Type of room
 
 
METHOD OF PAYMENT

Euros Converter
 
 

Déduce 10 % from total amount
After deduction, pay the balance:

At the reservation 20% of the total cost:
by Cash, or Credit card

At your arrival , 80 % to the hotel :
by
Cash or Credit card

If payment (20%), is done by cash
please send it at the order of :

DOMIEXEL Sarl

57 Av du Général DE GAULLE
97190 GOSIER
GUADELOUPE

As soon as we'll receive your cheque your reservation will be confirmed

 
 
PAYMENT BY CREDIT CARD
 
 
Choose your credit card
 
 
Card number
 
 
Date validity
 
       
 

Total reservation

 
 
I AUTHORIZE YOU TO DEBIT MY CREDIT CARD
FOR THE AMOUNT OF :
 
 
 
 

CORRESPONDING TO  20% of the total of the reservation

THIS DEBIT WILL BE DONE AFTER OUR CONFIRMATION