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Reservation request form

Palm Beach Hotel


I want to
* Your name:
* E-mail :
* Retype e-mail:
* Telephone number or mobile:
* Country of origin:
Date of arriving:
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Date of departure:
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Are you able to consider an alternative date: Yes
No
* Number of adult persons:
Number of children (not older than 11 years):
We want to share room/apartment: Yes
No
Smoking room preference:
Type of accommodation: Single room - park view, BB
Single room - sea view, BB
Double room - park view, BB
Double room - sea view, BB
1-bedroom suite (2 persons), BB
Number of rooms/apartments/villas:
You are coming to Bulgaria by
Place of arriving:
Would you like to use our Airport-Hotel pick up service?: Yes  
 If yes, please specify your flight number and time of arrival
No
Have you already bought you ticket to Bulgaria?: Yes
No
Would you like to order a flight to Bulgaria? Yes
No
Method of payment: Cash
Bank Transfer
Credit Card
Paypal
Credit Card Type:
Questions or comments?
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