Hotellastminute.com - Fax Confirmation Form


Please print off this form or attach to your email, complete the details and fax to: 00 45 75 85 89 80 - If you do not receive a response within 8 hours please refax or telephone reservations direct on 00 45 75 85 89 81

Name _________________________________
Email _________________________________
Fax Number _________________________________
Tel. Number _________________________________
Full Address _________________________________
City/Country _________________________________
Company name _________________________________


Please BOOK / CHECK Availability (Please state which)
Room Type

Single

Twin

Double

Triple

Quad

Room standard

Standard

Executive

Arrival date ________________________________
Departure date ________________________________
Number of nights ________________________________
Number in party ________________________________
Children(s) age ________________________________
Price per night ________________________________
Credit card no.# ________________________________
Expiry Date/Name ________________________________


Other Comments :
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________