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Hotel Riviera
55 rue des Acacias
75017 PARIS
Tel : 33(0)1 43 80 45 31
Fax : 33(0)1 40 54 84 08
hotel.riviera@wanadoo.fr

To reserve your room please fill out the following form
which we will return with a confirmation:
First name:
Surname:
Address:
Zip code:
City:
Country:
Phone:
Fax:
E-mail:

Room type:
Date of arrival (dd/mm/yy):
Number of nights:
Number of people:
Date of departure (dd/mm/yy):

Payment: Master card
CB
VISA
American Express
Diner's Club
Card Number:
Expiration Date:

Comment:

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