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, 2005     
HOTEL RESERVATION

SOUTH TRAVEL has negociated special fares with the City of Miami. You can register "on line" filling out this form or just fill it in and fax it to us.

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Informacion Personal - (PERSONAL INFO)

NOMBRE: *

FIRST NAME:
DIRECCION:
Address:
CIUDAD: *

CITY
CODIGO POSTAL:
Zip Code:
PAIS DE PROCEDENCIA:

COUNTRY OF ORIGIN:
TELEFONO:
TELEPHONE:		 FAX:
EMAIL:
* INFORMACION REQUERIDA
Required Information

Informacion para su reserva- (RESERVATION INFO)
  FECHA DE LLEGADA:

ARRIVAL DATE:

DD/MM/AA  (dd/mm/yy)

  FECHA DE SALIDA:

DEPARTURE DATE:

DD/MM/AA  (dd/mm/yy)

  # Adultos por habitacion*

# OF PEOPLE FOR ROOM:
 
  Preferencia tipo de Habitacion*

TYPE OF ROOM:

  
  OBSERVACIONES:

DEPOSITO DE GARANTIA (1 noche) - (PAYMENT OPTIONS)
Tarjeta de Credito:
CARD TYPE
VISA
MASTER CARD
AMEX
DISCOVER
Numero de tarjeta:
CARD NUMBER:
FECHA DE
EXPIRACION:
 EXPIRATION DATE:
MM/AA  (mm/yy)
NOMBRE DEL PORTADOR:
 CARDHOLDER NAME:
  (Exactly as in the card)
 
3 DIGITOS DE TARJETA:
 CREDIT CARD 3 DIGIT:
 
I Authorize the use of the following credit card to guarantee my hotel reservation.

NOTE: For security purposes if you would like, you can send us this form via fax.
Click here to see the form in PDF and send via Fax

 “For more information, please contact  SOUTH TRAVEL”

 
 

South Travel Miami
9835 SW Sunset Dr # 103  •  Miami, FL 33173  •  tel 305.274.9195   Fax 305.274.9137
  www.southtravelmiami.com - Copyright © 2000 - 2004 - All rights reserved