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Personal Information
Guest Full Name
*
Mr.
Ms.
Mrs.
Dr.
E-Mail
*
Address
*
Postcode
*
City
*
State
*
Country
*
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Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Azores
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Borneo
Bosnia and Herzegovina
Botswana
Brazil
British Indian Ocean Territories
Brunei
Bulgaria
Burkina Faso (Upper Volta)
Burundi
Camaroon
Cambodia
Canada
Canary Islands
Cape Vere Islands
Cayman Island
Central African Rep
Chad
Chile
China
Christmas Island
Colombia
Comoros Islands
Congo, Democratic Republic of
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritria
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fed Rep Yugoslavia
Fiji
Finland
France
French Guiana
French Polynesia
Fyro Macedonia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mexico
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Naura
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Qatar
Republic of Korea
Reunion Island
Romania
Russia
Rwanda
Saint Barthelemy
Saint Croix
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and Grenadi
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia Northern Region
Somalia Southern Region
South Africa
South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islnd
Tuvalu
USA
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands (United Kingdom)
Wallis and Futuna Islands
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe (Rhodesia)
Telephone
*
Booking Request information
Arrival Date
*
Departure Date
*
No of Nights
*
Room Type
*
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Single
Double
Twin
Triple
Family Room
No of Rooms
*
Names of other guests
*
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