Please fax this form to the following number:
++ (301) 89 58 300

Click here to print this form out so you can fax it to us.

Please fill in your personal information below.
 

Last Name :

 ____________________________
First Name : ____________________________
Address : _________________________________________
City : ____________________________
Country : ____________________________ 
Telephone : ___________________
Fax : ___________________
E-mail : ____________________________
How did you find the hotel's website : _________________________________________
_________________________________________
_________________________________________

Your Request 
  Arrival Date    Departure Date    No of Persons    Room Type*   No of Rooms  
1st
Stay		___________________________________
2nd
Stay		___________________________________
3rd
Stay		___________________________________

* Room Types Available : Single - Double - Twin - Triple - Connecting


Other Comments, or Requests :
_________________________________________
_________________________________________
_________________________________________

To receive confirmation for your reservation please furnish us with your credit card particulars by entering the fields below:

PLEASE NOTE : No deposits are necessary and/or credit card details is not a requisite.
 

Card Type :   ________________________
Card Holder Name :   ___________________________________
Card Number :   ________________________
Expiration Date :  _______ / _____