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Hotel Reservation Form


First Name / Prenume: *
Last Name / Nume: *
Phone Number / Numar Telefon: *
E-mail Address / Adresa E-mail: *
Street Address/ Adresa: *
Address Line 2 / Adresa Linia 2:
City / Oras: *
Postal Code / Cod Postal: *
Country / Tara: *
Check In (dd-mm-yyyy): *
Check Out (dd-mm-yyyy): *
Number of Guests / Numar de Persoane: *
Room Type / Tip Camera: *	Numar Camere:
-	Non Smoking / Nefumator Smoking / Fumator
Special Requests / Cereri Speciale:

Please verify your request / Va rugam sa validati cererea
	(cAse SeNSItivE!)



* Required / Obligatoriu