NOT OBLIGATORY DATA (*)
 

TITLE: (firm, organization, Dr, Mr, Mrs, Ms)

 *
 

NAME and LAST NAME:

 

EMAIL:

 
FULL ADDRESS: Street:
  City:
  Post code:
  Counrty:
 

TELEPHONE (contact number):

 *
 

TELEFAX:

 *
 
When can we reach you most easily on this number?  

- morning

- afternoon

- evening

*

*

*

 
DATE OF ARRIVAL: day, month, year:
 
DATE OF DEPARTURE: day, month, year:
 
TYPE OF ROOM
 
NUMBER

OF

ROOMS
 
HALFBOARD
to include 
lunch or dinner
 
FULL BOARD 
to include lunch 
and dinner
E1   Single-bedded, 
bed 90 x 200 cm
 
EQ1   Single-bedded – with air conditioning, 
bed 140 x 190 cm
 
EQ2   Single-bedded – with air conditioning, 
bed 140 x 190 cm
 
D2   Twin-bedded, 
bed 180 x 200 cm
 
D1   Twin-bedded, single use 
bed 90 x 200 cm
 
DQ2   Twin-bedded - with air conditioning,, 
bed 180 x 200 cm
 
DQ1   Twin-bedded, single use
-with air conditioning, 90 x 200 cm
 
T3   Twin-bedded, 
bed 180 x 200 cm and 
bed 180 x 200 cm
 
T2   Twin-bedded, 
 bed 180 x 200 cm
 
TQ3   Twin-bedded, -with air conditioning,
 bed 180 x 200 cm and bed
90 x 200 cm
 
TQ2   Twin-bedded, -with air conditioning,
 bed 180 x 200 cm
 
AQ1   Apartman - two rooms, -with air 
conditioning, with bed 180 x 200 cm and 
two beds 90 x 200 cm 
AQ2   Apartman - two rooms, -with air 
conditioning,  with bed 180 x 200 cm and 
two beds 90 x 200 cm for two persons
 
AQ3   Apartman - two rooms, -with air 
conditioning,  eith bed 180 x 200 cm and 
two beds 90 x 200 cm for three persons
 
AQ4   Apartman - two rooms, -with air 
conditioning,  with bed 180 x 200 cm and 
two beds 90 x 200 cm for four persons

SMOKING:

YES / NO * 

METHOD OF PAYMENT:
 
 
 Cash
Credit card 
CHOSE A CREDIT CARD:
 
 
 VISA
EC/MC
AMEX
DINERS CLUB INT.
  
NUMBER OF CREDIT CARD: 
*
  
VALID UNTIL:
 
 Day: Month: Year:
 
OTHER:
 
 
 
 
The reservation is valid only when it has been confirmed by the "PRI MRAKU" hotel!

NOT OBLIGATORY DATA (*)