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FAX HOTEL RESERVATION FORM
The Hotel Jerusalem International |
Please legibly print or type and fill out completely.
NAME |
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LAST |
FIRST |
M.I. |
COMPANY OR AFFILIATION |
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Mailing address (tick one): [ ] HOME [ ] BUSINESS | ||
STREET |
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CITY |
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ZIPCODE |
COUNTRY |
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TELEPHONE |
FAX |
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E-MAIL |
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DATE |
SIGNATURE |
HOTEL RESERVATION FORM (Check appropriate boxes) |
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1. [ ] I wish to book ____ single room(s) at 50 $/night | TOTAL ___________ $ |
2. [ ] I wish to book ____ double room(s) at 60 $/night | TOTAL ___________ $ |
3. From ____day August ____ to ____day August ____ or - September______ | |
TOTAL AMOUNT DUE | ___________ $ |
TOTAL AMOUNT REMITTED : (1 NIGHT DEPOSIT) | ___________ $ |
In order to guarantee your room reservation a one night deposit is requested, which can be done by charging your credit card | |
Charge my (tick one): [ ]Visa [
] Euro/Mastercard [ ] American Express [ ]Diners CARD NO: __ __ __ __ : __ __ __ __ : __ __ __ __ : __ __ __ __ EXP.DATE: __ __ / __ __ |
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Authorizing Signature: |
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