Reservation Form

Arrival :		Departure :
Number of Rooms :		Number of People :

Room Preference :

Budget Single
Executive Single

Executive Double
Executive Suite

Deluxe Suite
Extra Bed

First Name :

Last Name :

E-mail :

Telphone :

(R)

Fax :

(O)

Address :

City :

State :

Country :

Travel Agent :

Company Name :

Billing Instructions :

Special Preferences :

Arriving By :

Arriving From :

Arriving Time :