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Reservation Form - Singapore
Arrival Date Required nights Persons Month Day Year Nights Rooms Adults Childs January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2004 2005 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 01 02 03 04 05 06 01 02 03 04 05 06 07 08 09 10 11 12 00 01 02 03 04 05 06 07 08 Arrival Flight Details: Departure Flight Details: Hotel Name: Services required / Comments: Your Name: Country: USA Germany Afghanistan Albania Algeria Angola Anguilla Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bangladesh Barbados Belarus Belgium Belize Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Cambodia Canada Central African Republic Chad Chile China Colombia Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Dominica Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Ghana Grand Cayman Greece Grenada Guadeloupe Guam Guatemala Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea - Democratic Peoples Kuwait Kyrgyzstan Laos Peoples Democratic Rep Latvia Lebanon Lesotho Liberia Libya / Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Island Malawi Malaysia Mali Marshall Islands Martinique Mauritania Mauritius Island Mexico Micronesia Moldova Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic Of Cameroon Republic Of Cape Verde Republic Of Ireland Republic Of Korea Republic Of Yemen Romania Russia Saudi Arabia Senegal Seychelles Islands Sierra Leone Singapore Slovakia Somalia South Africa Spain St. Kitts St. Lucia St. Vincent And Grenadines Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan - Province Of China Tajikistan Tanzania - United Republic Thailand Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands U.S. Minor Outlying Islands US Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Venezuela Vietnam Yugoslavia Zaire Republic Zambia Zimbabwe Address: Your e-mail (Please double check!) Credit Card: Visa Card Master Card American Express Name on credit card: Card number: Valid til: 01 02 03 04 05 06 07 08 09 10 11 12 / 2004 2005 2000 2007 2008 2009 2010 "I understand and accept that eventual cancellation fees imposed by the hotel in case of short-term cancellation from my side will be charged to my credit card" Please type "YES" to accept (in capital letters):
Arrival Flight Details:
Departure Flight Details:
Hotel Name:
Services required / Comments:
Your Name: Country: USA Germany Afghanistan Albania Algeria Angola Anguilla Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bangladesh Barbados Belarus Belgium Belize Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Cambodia Canada Central African Republic Chad Chile China Colombia Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Dominica Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Ghana Grand Cayman Greece Grenada Guadeloupe Guam Guatemala Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea - Democratic Peoples Kuwait Kyrgyzstan Laos Peoples Democratic Rep Latvia Lebanon Lesotho Liberia Libya / Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Island Malawi Malaysia Mali Marshall Islands Martinique Mauritania Mauritius Island Mexico Micronesia Moldova Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic Of Cameroon Republic Of Cape Verde Republic Of Ireland Republic Of Korea Republic Of Yemen Romania Russia Saudi Arabia Senegal Seychelles Islands Sierra Leone Singapore Slovakia Somalia South Africa Spain St. Kitts St. Lucia St. Vincent And Grenadines Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan - Province Of China Tajikistan Tanzania - United Republic Thailand Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands U.S. Minor Outlying Islands US Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Venezuela Vietnam Yugoslavia Zaire Republic Zambia Zimbabwe Address: Your e-mail (Please double check!)
"I understand and accept that eventual cancellation fees imposed by the hotel in case of short-term cancellation from my side will be charged to my credit card" Please type "YES" to accept (in capital letters):
If you prefer to send credit card details by fax, you may do so by printing this form out and sending it to the following fax number: Tel : (852)2368-2673 Fax : (852)2366-1031
If you prefer to send credit card details by fax, you may do so by printing this form out and sending it to the following fax number:
Tel : (852)2368-2673 Fax : (852)2366-1031