Name:
Company:
Street:
City:
Phone:
Country:
Fax:
Email:
Booking Request
(We get back to you within 24 hours)
I am interested in the following
accommodation:
Motel room up to 2 person
Small efficiency up to 2 person
Large efficiency up to 4 person
Number of guests:
Number of children (2 - 10 years):
Arrival date:
Departure date:
Comments:
Date:
Signature:
