Company name
Contact person:
Guest name:
Billing address:
ZIP & City:
Country:
Telephone:
Fax:
Email:

Number of single rooms:
Number of double rooms:

Arrival

Date	Month	Year	# Nights

Arrival time:

Queries / Additional Information:

Billing arrangement:

	All charges will be billed to company.
	Only Room charges will be paid by company.
	All charges will be paid by guest.

Confirm this request by :

Telephone Fax E-mail