First Name: Last Name:
Address:
City: Country:
E mail:
Home Phone : Office Phone :
Arrival Date : Departure Date :
Type of Room 2 Queen Bed (2 persons max) $99/ Night
1 Queen Size Bed (2 persons max) $92/ Night
1 King Size Bed (2 persons max) $95/ Night
Extra person $20/ Night,
Total No. of Person :    


Credit Card Information

Name of Card :
Card No. : Exp. Date :
Any extra Note if you want to give: