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Reservation Form

Please fill in the following information and press the Submit button. Click here to contact us about special reservations.


Personal Information
First Name:
Last Name:
Credit Card Billing Address::
City:
State:
Country:
Phone:
Email:
Zip Code:
Room Information
Check In Date:
Check Out Date:

Number of Rooms:  
Persons Per Room:  

Room Type:
A/C Room with 1 Bed
A/C Room with 2 Beds
Non A/C Room with 1 Bed
Non A/C Room with 2 Beds


Credit Card Information
Credit Card Type:  
Expiration Month:  
Expiration Year:  
Credit Card Number:  
CVV Number:    (This is the 3 or 4 digit number on the back of your card)
Special Requirements or Comments:




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