Hotel Reservation Form

Last Name
First Name
E-mail  (Double Check!)
Hotel Name
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)
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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