Transaction by credit card

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Date :	07-10-2024 11:15
Civility	Mrs Mr Firme Other
Name:*
Firstname:*
Email :*
Telephone :*
Arrival date:
Rental number:*	1 2 3 4 5 6 7 8 9 10 11 12
Name that appears on the contract, if different from yours:
Your payment relates to:	Deposit for reservation Rental balance before your arrival Rental balance
Message :
Amount:*	euros