La Cure Reservation Form

*Denotes a Required Field

*First Name:
*Last Name:
*Primary Phone :
   Other Phone:
   Fax Number:

Desired Dates of Stay:





Type and Number of Rooms Required:

*Number of Guests:

   Number of Single Rooms:

   Number of Double Rooms:

   Check if you require Baby Crib:

Yes No

   Check to include Breakfast

Yes No

Any Additional Requests:

TERMS & CONDITIONS: After submitting this Form, a La Cure representative will reply to you within 72 hours via email, and/or telephone to discuss your needs. Once you receive confirmation that your requested dates are available, we require a credit card number and expiration date at the time of booking. Rest assured, your credit card will not be charged unless there is a cancellation on your part (see schedule below). The total cost of your stay is payable at the time of departure from La Cure. We accept cash, credit/debit cards as well as wire transfers.

Notice of Cancellation
Amount Charged
Date of reservation to four (4) days before check-in
Three (3) days to Twenty-four (24) hours before check-in
Twenty-three (23) hours before to check-in
No show

Any questions? Please contact us directly at:


La Cure Chambres d'hotes
30, rue du Colonel Filloux
41400 Pontlevoy, France
Tél: (+33)
Fax: (+33)

The Eur-Am Center 
32500 Telegraph Road, Ste. 209
Bingham Farms, MI 48025 USA
Tel: 248.988.9341
Fax: 248.723.3341