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PERSONAL INFORMATION

 

         
  Name  
  
Last
First
Middle Initial
  
           
  E-Mail Address      
           
  Telephone No.
Fax No.
  
           
  Company Name      
           
  Correspondence Address      
           
  Cash/Credit Cash Credit      
           
  Credit Card No.
Expiration Date:
  

 

 

ROOM DETAILS

 

  Number of Room Number of Person(s)  
         
  Hotel:     Type of Room
         
  Date of Check In Date of Check Out
 

 

 

 

FLIGHT INFORMATION

 
  Arrival      
  Flight Name and No.
Time
  
  Departure      
  Flight Name and No.
Time
  
         
  Do you need transportation from the airport? Yes No  
          
  Indicate any special requests here: (Please indicate the hotel) will be happy to send you a confirmation of your booking within 48 hours).
 

 

 

 

 

For inquiries or reservations please call:

Boulevard Mansion Hotel Reservation Office
at (632) 521-8888 loc. 520, 525; Fax: (632) 521-5829

 

 

 
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