Booking form

B&B Concordia
Mirjam Smulders
In de Boerenmouw 15
5211 NG 's-Hertogenbosch
www.bedandbreakfastconcordia.nl

Dear Sir/Madam,

Thank you for your interest in our bed and breakfast.

If you fill in the form below, I will let you know as soon as possible whether the room is still available; only then is your booking confirmed.

Please choose the room you want to book:
  1. (1 pers. €45,- p/n 2 pers. €70,- p/n)
    (1 pers. €60,- p/n 2 pers. €85,- p/n 3 pers. €110,- p/n)
    number of persons:

  2. Period:
    from
    till

  3. Your personal information:

    Name:

    Address:

    House no.:

    City:

    Country:

    E-mail:

    Phonenumber:

  4. Arrival is only possible between 16.00 and 18.00 hours.
    Expected time of arrival:

  5. Parking is possible behind the house. It costs €7,50 per day. The parkingplace is not suited for campers and busses.
    I would like to use the parking place behind the house from:
    till

We kindly request you to pay the costs on arrival.

If you have any questions, please don't hesitate to contact me.

With kind regards,

Mirjam Smulders

Bed and Breakfast Concordia