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Online Reservation

Name: * Title:

Arrival Date (month & date):

Arrival Time: :

Departure Date (month & date):

Departure Time::

Reservation Made By: *

Phone No: *

Fax No:

Email Address: *

Company:

Address:

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Room Type :
Standard              No. Of Room(s):
Superior Single     No. Of Room(s):
Superior Double   No. Of Room(s):
Deluxe                  No. Of Room(s):

Special Requests:

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