Reservation Request Form

Contact Information:

Your name:

Your street address:

City:

Province/State:

Country:

Postal or Zip Code:

Telephone:

Fax:

Your e-mail address:

Number of adults (over 18):

Number of children (under 18):

Arrival (dd/mm/yy):

Departure (dd/mm/yy):

Length of stay:

Type of Accommodation:

Superior Room:
Number of beds: 1 2
Crib required:

Standard Room:
Number of beds: 1 2
Crib required:

Credit Card Information: (Optional - to guarantee the reservation at this time)

Card type:
Visa Mastercard Amex
Card number:

Expiry date:

Name (as it appears on card):

Other comments or requests?