ONLY FOR RESERVATIONS - NOT TO BE USED FOR AVAILABILITY REQUESTS
Print it and fax it to this fax numbers: World Wide 90-212 253 0537
Reserve by Fax
Date: ___/___/____
Hotel Name:
Address:
City:
Country:
Traveller Information
Full Name: ______________________________________________________________
Address: ________________________________________________________________
City: ___________________________________________________________________
State: _______________________________Zip/Post Code: ___________________
Country: ________________________________________________________________
Phone: _______________________________Fax: ______________________________
E-Mail: _________________________________________________________________
Accommodation Information
Category Request: Room Only [ ] B&B [ ] H&B [ ] F&B [ ] All
Inc. [ ]
Check-in Date: __________________________________________________________
Check-out Date: _________________________________________________________
Room Types: _____________________________________________________________
How many Adults: ________________________________________________________
How many Children: ___________________________________________________
Comments: ____________________________________________________________
______________________________________________________________________
Card : Visa[ ] Mastercard[
]
Card Number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Card Holder's Full Name: _____________________________________________
Expiry Date: ____/_____
Security Code:_________ 3 digit number back side of your credit card.
Signature: ___________________
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