Reservation Confirmation Form
Reservation Name
Company Name
Date of reservation
-
Month
-
Day
Year
Date
Time of reservation
Hour Minutes
AM
PM
AM/PM Option
How many days?
How many nights?
How many guest?
How many adult?
How many children?
Remarks
Select what you want to avail
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next
( X )
Breakfast
Breakfast description
$
10.00
Quantity
Luncheon
Luncheon description
$
15.00
Quantity
Dinner
Dinner description
$
25.00
Quantity
Payment Method
Cash
Credit Card
Bank Transfer
Wire Transfer
Check
Do you have any special instructions or requests?
Submit
Should be Empty: