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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.)
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!

 
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