| PERSONAL INFORMATION Important!!!
Only 1 name per room is required. Pls make sure guest name
is exactly same as passport. Resubmit if more than 2 rooms are required. |
| Guest in Room 1: First Name:
* Last
Name:
* |
| Guest in Room 2: First Name:
Last Name:
|
| Guest in Room 3: First Name:
Last Name:
|
| Nationality: |
* |
| Email Address: |
* Important!!!
Pls furnish complete email address so that our reply could
reach you. |
| Alternate E-mail Address: |
|
| Telephone No: |
* |
| Fax No: |
|
| Company Name (if applicable) : |
|
Correspondence Address:
* please include state & zip code |
|