| RESERVATION NAME: |
| Last Name |
|
| First Name |
|
| Title |
|
| Nationality |
|
| Fax |
|
| E-mail |
(Double Check!) |
| RESERVATION DETAILS: |
| Hotel Name |
|
| Rooms |
|
| and (if any) |
|
| Room Type |
(Ex. Standard, Deluxe, etc.) |
| No. of Adult |
|
| No. of Child |
|
| Check In |
(dd/mm/yyyy) |
| Check Out |
(dd/mm/yyyy) |
| Nights |
|
| ANY SPECIAL REQUEST or information that you think we should know: |
|
| Payment By |
Visa Master Amex |
| |
Bank Draft Telegraphic Transfer |
| If pay by credit card, is the credit card holder's name same as the reservation name |
Yes No |
| Before Submission, please let us know HOW DO YOU KNOW US? |
| You know us by: |
Or |
| Keyword Used |
During Search |
| Your information will be highly useful for our future improvement |
| Thank you very much for your Reservation! |