Reservation Form

This form enables you to make an online Reservation, which is then automatically
sent by e-mail or by pager. After we receive it, we will CONFIRM your Reservation!

Please fill in all fields accurately!

First Name
Last Name
Address
Town/City
Province/State
Postal code/ ZIP code
Country
Firm
Daytime Phone
Mobile
Fax
E-mail

 
Information about your stay
Time and date of arrival: 
Month Day Year Time
Duration (# of nights):  Number of persons:
Sigle room  Double room Apartment
Would you like a taxi to the hotel?
Yes       No
Other requirements: