Reservation Form

Personal Information
Name:	___________________________
ID o Passport No. :	_____________
Address (Street):	_____________________________________________
City:	_____________________
State:	_____________________
Country:	____________
Zip Code:	_____________________
Telephone (preference):	_____________________	Fax:	____________
E-Mail:	_______________________________
Type of Answer Wanted:	E-Mail Fax

Room Information
Type of Room:	____________________	No. of Persons:	_____
Arrival Date (dd-mm-yyyy):	_____________	Extra Bed:
Departure Date (dd-mm-yyyy):	_____________

Credit Card Information
Type of Credit Card	VISA Master	Title:	_________________
Credit Card No.:	_____________________
Expired Date (dd-mm-yyyy):	_____________________

*** Please fill the Reservation Form and send it to us by Fax to complete your Reservation.***
FAX +34 94 676 6370