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Best Western > Reservation
Reservations
Salutation Name * Surname *
Name of enterprise
Address
City Postcode
Country
Telephone * Fax
E-mail *
Order
Date of arrival * Departure date
Year
 / 
Month
 / 
Day
Year
 / 
Month
 / 
Day
Number of rooms
Type of bed
Extra services
Room type
Mode of payment (choose one)
Payment in advance, by bank transfer
Cash (deposit will be required upon arrival)
By credit card
Number of credit card
Validity till
Type of credit card Number of credit card Year  /  Month
This is a secure form, but if you do not wish to submit your credit card information by e-mail, you can also print out, fill in and fax this form to: +370 5 2739500
Transport
From the airport
Arrival time
hour . (00-23)
min . (00-59)
Flight number
Confirm
by fax
by phone
by e-mail
Notes
* mandatory fields
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