Reservation Form  
   
 

Please fill out form for Reservations:

 
     
FULLNAME  
 
Last Name   First Name   Middle Initial
 
Home Address
 
 
Company Affiliation  
 
Male Female
Birthdate (mm/dd/yy)

Nationality

Gender

PASSPORT Number

 
Telephone #  

Home

 Office Mobile Facsmile
 
E-Mail Address  
 
 
Room Types
# of
Rooms

# of nights
# of
Adults
# of
Children
Arrival Date & Time
Departure
Date & Time
 
 

Airport Pickup *

Flight number

Expected Arrival Date

Expected Arrival Time
yes no

 

Remarks [re: payment]

  
 

Other Remarks/Notes/Reminders/Requests

      
 

* airport pickup with corresponding charge
- reservations will be confirmed via email
- for other inquiries, you may email us at res@citystatetowerhotel.com.ph
 

 
www.citystatetowerhotel.com.ph