First name : Name : E-Mail

Street N°

Postal code : City :

Number of reservations for the Show : x 15 eur per adult x 7.5 eur per child from 6 to 10 years

Please also indicate the day for your reservation for the "Show" (e.g. Thursday, Friday, Saturday, or the date 28/08, 29/08 or 30/08/2003) :

Number of reservations for the Banquet : x 15 eur per adult x 7.5 eur per child from 6 to 10 years

Please also indicate the day for your reservation for the "Banquet" (e.g. Friday or Saturday, or the date 29/08 or 30/08/2003) :

Free for the children under 6 years
Caution : this reservation will only be valid after reception of your bank transfer on the bank account n° 776-5980710-78 of the Syndicat d'Initiative