Name : 
          Organization: 
       Mailing Address: 
                E-mail: 
                 Phone: 
                   Fax: 
               Country: 
        Accompanied by: 

 Please reserve:
  Type of room/service:  SingleDoubleTriple  BBHB    No. of rooms
  Type of room/service:  SingleDoubleTriple  BBHB    No. of rooms
  
       Arrival:
                 Date :  (dd/mm/yy)
            Flight No : 
               Company: 
                  Time: 
     Departure:
                  Date:  (dd/mm/yy)
            Flight No : 
               Company: 
                  Time: 

 Choice of confirmation:

		 E-Mail Fax

 How do you plan to pay:

		 Cash  Credit Card

 If you plan to pay by credit card, please check its type:
                 AMEX  DINERS  VISA  MASTER

 Comments: