HOTEL REMOTA

Reservation Request

:
Hotel Name :
The tour or hotel you are interested in
City :
The city or location where the Hotel is
 
Arrival Date * :
(month/day/year)
The date you wish to arrive to the hotel or start the tour
 
Departure Date :
(month/day/year)
The date you wish to leave the hotel
 
Room Type :
 
Number of Adult Passengers* :
Number of adults, including yourself
 
Number of Child Passengers* :
Number of children under 12 years old
   
First Name* :


your first name
 
Last Name* :
you last name
 
EMail* :


your electronic mail address
 

Verify EMail* :


to verify your email address is correct
 

Phone Number :
your phone number, if you wish to be contacted by phone.
Please include area code and country code if from outside US/Canada
 
Fax Number :
your fax number, if you wish to receive printed information.
Please include area code and country code if from outside US/Canada
 
City :
the city or location your trip will start from
 
Country* :
the country your trip will start from
 
   
Comments :
Anything you think we need to k now