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Booking Request for Monopol Swiss Q Hotel
Quality Wellness Package
Please provide us with the following information to be able to process your booking. The required fields are marked with "*".
Name: * 
First Name: * 
Address: 
City: * 
ZIP Code: 
State: 
Country:* 
Telephone: 
Fax: 
E-mail:* 
Arriving date: * 
 (dd.mm.yy) 
Number of nights:  5 Nights
Room Type: * 
Number of Single Rooms: 
Number of Double Rooms: 
Children joining the parents in a room: 
Number of Children: 
Age of the Eldest Child: 
Term of payment: 
Credit Card Details: 
Credit card Number: 
Expire Date: 
 
If you do not wish to submit your credit card information by E-mail, you may fax them to us. We request a credit card to guarantee and process your booking. Our fax number is: ++41 (0)1 928 27 28
Remarks: 
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