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MESM'2000

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Hotel Reservation Form

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FAX HOTEL RESERVATION FORM

The Hotel Jerusalem International
P.O. Box 926265/6
Amman, 11110 Jordan

Tel : +962.6.5151121 / 5151541
Fax: +962.6.5159328 /5158882
email: alquds@jerusalem.com.jo
Telex : 22330 - 22381 JERHTL


Please legibly print or type and fill out completely.

NAME
 
LAST
 
FIRST
 
M.I.
 
COMPANY OR AFFILIATION
 
Mailing address (tick one): [ ] HOME [ ] BUSINESS
STREET
 
CITY
 
ZIPCODE
 
COUNTRY
 
TELEPHONE
 
FAX
 
E-MAIL
 
DATE
 
SIGNATURE
 

 

HOTEL  RESERVATION FORM (Check appropriate boxes)

1. [ ] I wish to book ____ single room(s) at 35 JD/night TOTAL
___________ JD
2. [ ] I wish to book ____ double room(s) at 45 JD/night TOTAL
___________ JD
3. From  ____day August ____ to    ____day August ____ or - September______  
TOTAL AMOUNT DUE ___________ JD
TOTAL AMOUNT REMITTED : (1 NIGHT DEPOSIT) ___________ JD
In order to guarantee your room reservation a one night deposit is requested, which can be done by charging your credit card
Charge my (tick one): [ ]Visa [ ] Euro/Mastercard [ ] American Express [ ]Diners

CARD NO: __ __ __ __ : __ __ __ __ : __ __ __ __ : __ __ __ __ EXP.DATE: __ __ / __ __

Authorizing Signature:
  

 


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