|
| Client Information: Name on Credit Card: ______________________________________________________ Address1:______________________________________________ Address2:______________________________________________ Apt# :_______ City:___________________________________ State:_____________ Zip:_________ Country:________________________ E-Mail: _____________________________________________________ Telephone (very important):___________________________________________ Fax: __________________________________________________
Please note that at the moment of your reservation we require as confirmatory deposit an advanced payment of 30% of the entire amount of the stay. Card:
[Visa __] [Mastercard__] [American Express__] Signature:_________________________________________________ Type of apartment ( 1, 2 or 3 room ) _____________________________________________________ |
|