REQUEST:
TOTAL PERSONS:
NAME OF THE APARTMENT:
STARTING FROM: (dd/mm/yy)
UP TO: (dd/mm/yy)
NOTES AND REQUESTS:
PERSONAL DATES OF THE CUSTOMER (all dates are necessary)
FULL NAME:
ADDRESS:
CITY:
STATE:
PHONE:
FAX:
E-MAIL:
PLEASE ANSWER ME BY
FAX
E-MAIL
PHONE-
ORDINARY MAIL