Application form for room reservation
Room:
*
Single standart, 2-nd floor
Single standart, 3-rd floor
Standart Improoved
Double standart
Red Lux
Pink Lux
Office Lux
Asia Lux
Sea Lux
Japane Lux
Wedding Lux
Quantity of adults:
*
1
2
Children at the age till 6:
—
1
2
Children at the age 6-12:
—
1
2
Breakfast:
Lunch:
Dinner:
Form of Payment:
*
Cash
By transfer
Date of arrival:
*
Date of departure:
*
Contacts
Second name:
*
Name:
*
Phone:
*
E-mail:
*
*
Fields necessary for feel in the form