For reservation and express check-in kindly fill in the following form. A confirmation will be faxed to you or sent by e-mail (All fields are required).

Last name:

 

First Name:

 

 

  Male     Female 

Nationality:

 

Passport No.

 

Address:

 

City:

 

Province:

 

Postal Zip Code:

 

Country:

 

Home Phone:

 

Business Phone:

 

Email:

 

 

Type & number of Suites required:

 

Deluxe Suite

 

Suites

 

Grand Suite

 

Suites

 

Check In Date:

Day       Month       Year 

Expected Arrival Time:

 :        Am    Pm

Expected Check Out Date:

Day       Month       Year 

Other Comments:

 

Method Of Payment:

  Credit Card       Money Order       Check

Credit Card Type:

  Visa       Master Card       American Express       Dinerīs

Credit Card Number:

 

Expiry Date:

 

Name On Card: