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FORMULARIO DE RESERVA

 Mr.                    Miss                   

Full Name:  

Date of birth:     (dd, mm, aaaa)

Telephone number with cod. Area:  

Fax:  

E - mail:  

City:  

Province:  

Postal Code:  

Country:  

Adress:  

Date of your in:     (dd, mm, aaaa)

Date of your out:     (dd, mm, aaaa)

Number of rooms:  

Number of people:       

Number of nigths:         

Number of adults:        

Number of childs:      

Name of the suite:  

                        Payment:

Credit Card      Visa    Master Card   American Express

Number of the Credit Card:  

Name of the Credit Card:  

Please write the three last number written behind the credit card

Code:  

Date of expiration:      (dd, mm, aaaa)

Other coments or information: