plikowy

•Acupuncture • Massage punctual • Elektroakupuncture • Elektropuncture • Massage vacuum • Massage termic-moxa • Reposition articular • Relaxating • Exercises respiratory • Elektrodermometric • Spectroscopy of hairs

Recreational and rehabilitation Centre

MAIN SITE/REHABILITATION/RECREATION/CONTACT/OFFER/PHOTOS/FILES/RESERVATION

BOOKING FORM

Mark option:

Question

Initial reservation

Reservation

Beginning of fixed period :

Day

Month

Year

End of fixed period :

Day

Month

Year

Name :

and / or

Name of firm:

Surname :

Id Number :

Street :

Postal code :

City :

Country :

Post :

Contact telephone :

Mobile Phone :

Fax :

E-mail :

Common number of persons

Adult :

Young people 12-18 :

- maximum 20 persons :

Children 4-12:

Little children 0-3 :

Additional informations :

Trip family - individual

Mark option :

The group trip

The firm trip - integretions performance

Form of payment :

full sum

Manner pays :

bank overflow

instalment 30 %

postal remitance

cash 70 %

Questions and Attentions:

"ESCO" ARTUR OSTROWSKI - OSRODEK BORKOWO

ul.Wejherowska 3-9/6 , 81-065 Gdynia

The account number : BRE Bank S.A.

90 1140 2017 0000 4302 0244 4933

Payment 30 % of instalment on account is for us confirmation this reservation.We ask for confirmation of overflow bank at least 3 days before time-limit of arrival. Best in form scanned file in size .gif or .jpg on address: esco@winder.pl or per fax on number 0048/58/6858408.

Executing of initial reservation, after her to confirmation, commit oneself State to payments of payment on account or wholes of sum on given in confirmation account in definite time. I agree on transformation my personal in marketing targets ( in accordance with Law from gouts, 27. 08. 1997 r about Protection Given of Personal Dz. Ust. No 133 pos. 883).

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