Agent form. First name Telephone number guest Date and starttime Departure address City + Postal Code Arrival address City + Postalcode Date @ End time Number of persons Number of persons123456789101112131415 Package choice Package choice1 hour and 0 drinks = 395.00 euro1 hour and 0 drinks + stripper = 430.00 euro1 hour and 1 drinks = 420.00 euro1 hour and 1 drinks + stripper = 455.00 euro1 hour and 2 drinks = 445.00 euro1 hour and 2 drinks + stripper = 480.00 euro1 hour and 3 drinks = 470.00 euro1 hour and 3 drinks + stripper = 505.00 euro1 hour Unlimited drinks = 620.00 euro1 hour Unlimited drinks + stripper = 655.00 euro1 hour airport pick up and 0 drinks = 445.00 euro1 hour airport pick up and 0 drinks + stripper = 480.00 euro1 hour airport pick up and 1 drink = 470.00 euro1 hour airport pick up and 1 drink + stripper = 505.00 euro1 hour airport pick up and 2 drinks = 495.00 euro1 hour airport pick up and 2 drinks + stripper = 530.00 euro1 hour airport pick up and 3 drinks = 520.00 euro1 hour airport pick up and 3 drinks + stripper = 555.00 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 6 + 6 = Indienen