If you want to to spend your vacation with us please fill out this form:

First name:   Arrival: Departure :
Last name:      
Address:   Surfpackage in shared room:
Zip, City:   Surfpackage in private double room*:
Country:   Surfpackage in holiday-home/apartment:
Telephone:   Just accommodation in a shared room:
Mobile:   Just accommodation in a double room*:
Email:   Just Surf class:
      *additional 50 EUR per week per room  

We want to book the surf class in combination with this holiday-home or apartment:
Da Silva holiday-home N°: Name: www.dasilva.de

We want to be picked up with the shuttle bus from the airport in Lisbon.
N° of persons: Arrival time:
Flight N°: Airport of departure

Airport transfer fee: one Person 70 EUR, any additional person +10 EUR

Participants:      
1)  First Name: 2)  First Name:
  Last Name:   Last Name:
  Date of birth:   Date of birth:
  Height in cm:   Height in cm:
  Weight in kg:   Weight in kg:
           
3)  First Name: 4)  First Name:
  Last Name:   Last Name:
  Date of birth:   Date of birth:
  Height in cm:   Height in cm:
  Weight in kg:   Weight in kg:
           
5)  First Name: 6)  First Name:
  Last Name:   Last Name:
  Date of birth:   Date of birth:
  Height in cm:   Height in cm:
  Weight in kg:   Weight in kg:

Date of birth, height and weight are important for wet suit and surfboard.

Comments / special wishes:

We have read the terms and conditions and herewith acknowledge them:
We want to book bindingly: