Availability request form
- I would like to stay in the period:
	Month	Day	Year
Arrival	January February March April May June July August September October November December	01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31	2015 2016 2017
Departure	January February March April May June July August September October November December	01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31	2015 2016 2017

- Wish to request availability: Adults:      1 2 3 4 5 6 7 8 9 10 Children:        0 1 2 3 4 5 6
- Cottage required: All Summer Cottage
PERSONAL INFORMATION
Name*
Surname*
E-Mail*
Address
City
Postcode
Nation*
Phone
Fax
Other requests

Consent under Law 675/96: In implementation of Article. 11 of Law 675/96, bringing dispositions to protection of persons and other subjects regarding the processing of personal data, on / the applicant gives consent to the processing of personal data, to process this reservation request. IN NO EVENT your data will be divulged to third parties for any reason.

Agree*

* Fields marked with an asterisk are required