Pré-réservation de votre Mini-Cure

Pour réserver votre Mini-Cure, vous pouvez :

  • soit télécharger le formulaire papier (format pdf) et le retourner par voie postale
  • soit remplir le formulaire ci-dessous :

    Nom*

    Prénom*

    Date de naissance*

    Adresse*

    Adresse (suite)

    Code postal*

    Ville*

    Votre email*

    Téléphone fixe

    Téléphone portable*

    Type de Mini-Cure*

    Halt'O DouleursHalt'O Stress

    dates souhaitées :

    du*

    au*

    Heures des soins souhaitée *


    (*) champs obligatoires

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