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On-line Hotel Reservation Form

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.)
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
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!

 
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