Intown Residence
Reservation Form (Monthly)
Personal Information
Important!! Please furnish full details at " * required fields "
1ST ROOM
Title : First Name : Last Name :
2ND ROOM
Title : First Name : Last Name :
3RD ROOM
Title : First Name : Last Name :
E-mail Address :
* ( Correspondence E-mail address)
E-mail Address : ( Second e-mail address,if any )

Telephone No :

Fax No :
Passport No :

Company Name :

(if applicable)
Correspondence Address :
Country :
Nationality : *

Reservation Details
Types of room Required :
Types of bed :
Number of room required :
Number of Adult(s) occupying room : Extra Bed : Yes No ( if required )
Number of Children ( if any ) : Age of Children :
Indicate here for any special request ( bed types preferred, connecting room, etc.)
Date of check in :    Date of check out:

Flight Information
Flight name and no. (Arrival) :
Time of Arrival :
Flight name and no.(Departure) :
Time of Departure :
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At your services always !
Intown Residence