Please use this form ONLY to make a reservation

Accommodation Required

Superior Deluxe Suite (up to 4 persons)

Arrival Date

Number of Rooms

Number of Nights

Adults (number)

Children (under 6 ys)

Title

Mr Mrs Miss Ms Dr

First Name

Last Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Home Phone

Fax

Email

Remarks