Residència Vila Nova


	students accommodation
	\| academic course 2009/2010

	presentation
	apartments
	services area
	booking form
	conditions
	prices

students accommodation |

academic course 2009/2010

booking form

ACCOMMODATION APPLICATION FORM

Personal details (The fields marked with asteriscs must be completed)

First surname *
Second surname *
Name *
Identity Nº / Passport Nº *
Date of birth *
Male Female
Home address *
Village *
Post code *
Country *
Telephone *
Summer-time telephone *
E.mail
Accommodation details * 1. Type of accommodation required: Single Double Double Special Type A Double Special Type B 2. Preferred order (mark from 1 to 4, from most to least preferred): Single Double Double Special Type A Double Special Type B 3. Other details of interest: Do you smoke? YES NO Do you have friends with whom you wish to share the apartment? YES NO In the event of the above being affirmative, please indicate names: Do these friends already live in the residency? YES NO In which case, indicate names: Write characters shown on picture: I accept the conditions.

[ .pdf booking form ]

Rambla Exposició, 41 · 08800 Vilanova i la Geltrú · T. 93 811 59 00 · Fax 93 811 59 38 · www.grupqualitat.com/residencia · [ how to go at the residence ]