Agent form. First name Telephone number guest Date (DD/MM/JJ) Start time Departure address City + Postal Code Arrival address City + Postalcode End time Number of persons Number of persons123456789101112131415 Package choice Package choice1 hour and 1 drinks = 400.00 euro1 hour and 1 drinks + stripper = 450.00 euro1 hour and 2 drinks = 425.00 euro1 hour and 2 drinks + stripper = 475.00 euro1 hour and 3 drinks = 450.000 euro1 hour and 3 drinks + stripper = 500.00 euro1 hour Unlimited drinks = 595.00 euro1 hour Unlimited drinks + stripper = 650.00 euroOther wishes? (Please let us know your wishes in the message box)Multiple hours (Please let us know the number of hours in the message box) Stripper Yes/No Stripper Yes/NoNoYes (pick up at the Movepick Hotel) Company name booking agent Personal name agent E-mailadres Message Algemene Voorwaarden Algemene Voorwaarden Hierbij accepteer ik de algemene voorwaarden 1 + 1 = Indienen