Rent-a-Room : Reservation Form

Rent-a-Room : Reservation Form

1...	Your Name:				*
		(Mr./Ms)	(First Name)	(Middle Name)	(Last Name)

2.. Address:....

3.. Home Phone (+area code):
.....Mobile/Cell Phone:

4.. Fax (+area code):

5. Confirm Your Email Address: *

6.	No. of Person:	Adult:. Child:.
7.1	Nationality:

8... No. & Type of Room: ......(Please refer to Room Page)	For multiple booking, please specify in "Comments" field
9... Floor Level:................	Upper / Lower ........ Kitchenette: Yes/ No
10. Desired Length of Stay: ......(excluding departure day)	night(s) / month(s)*
11. Flight Name & No.:..Arriving:	Departing:
12. Time & Date of Arrival: 12. in HONG KONG	:(hh:mm)* (dd/mm/yyyy)*
13. Time & Date of Departure: 13. from Hong Kong	:(hh:mm)* (dd/mm/yyyy)*
14. Purpose:

15. Company Name, Address, Fax ......and Tel. No. in Hong Kong:
16. Company Name, Address, Fax ......and Tel. No. in your Country:
17. Source of Information:
18. Special Requests / Remarks:

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Copyright Rent-a-Room, Hong Kong 1998
7-8 Tak Hing Street, Knight Garden Flat A 2/F, Jordan, Kowloon, Hong Kong
Tel +852 2366 3011, +852 2970 0888 Fax +852 2366 3588.
Email: info@rentaroomhk.com ; thomastang@ctimail.com
Home Page: http://rentaroomhk.com