RESERVATION FAX FORM

RESERVATION FAX FORM - FORMULA DE RESERVACIÓN DE FAX

PLEASE PRINT, FILL OUT COMPLETELY AND FAX TO - POR FAVOR IMPRIME, LLENA, Y MANDA POR FAX AL
506-750-0191

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LAST NAME _________________________________NAME___________________________________
Primero apellido                           Nombre

PHONE #_________________FAX #______________E-MAIL_________________@_______________
Telefon

DATE IN______________DATE OUT______________# NIGHTS_________# PEOPLE____________
fecha de entrada     fecha de salida       cuantos noches   cuantos personas


ACCOMODATION :  BUNGALOW ( )            or-o         STANDARD ROOM ( )

RATE PER DAY  $________ + 16.39% TAXES = $ ___________  TOT. $___________
tarifa por dia                   impuestos

CREDIT CARD DETAILS
Detalles de tarjeta de credito

VISA   (  )          MASTERCARD   (  )       AMERICAN EXPRESS   (  )

CARDHOLDER INFORMATION:

NAME_____________________________CREDIT CARD #    _ _ _ _  _ _ _ _  _ _ _ _  _ _ _ _
Nombre completo			 numero de tarjeta

EXPIRATION DATE _____/______  AMOUNT IN $___________ZIP CODE (USA ONLY)__________
Fecha de vecimiento            total in $

NATIONALITY_____________________PASSPORT #____________________________
nacionalidad                    numero de pasaporte

I ACCEPT THE CONDITIONS OF RESERVATION AND AGREE TO PAY THE AMOUNT HERE APPROVED 
WITH MY SIGNATURE, EVEN THOUGH MY SIGNATURE IS NOT ON THE ORIGINAL CHARGE RECEIPT 
OR THE CREDIT CARD SLIP. I ALSO AGREE TO PAY THIS AMOUNT 15 DAYS PRIOR TO MY 
ARRIVAL DATE, IN ORDER TO GUARANTEE MY RESERVATION. I AGREE TO PAY THE AMOUNT 
CORRISPONDING TO THE FIRST NIGHT IN CASE OF "NO SHOW".

CARDHOLDER'S SIGNATURE_______________________________________________

ADD COMMENTS_____________________________________________________________________

______________________________________________________________________________________

   TO GUARANTEE YOUR RESERVATION FAX THIS DOCUMENT ASAP TO 506 - 750 0191

CONFIRMED BY_______________________DATE____/____/_______