Credit Card Payment Authorization, Registration Form Page 2

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REGISTRATION FORM
1. Name as it appears on your Passport :
___________________________________
(This is the name you must use to make the reservation)
2. Type of Room Requested:
____________________________________
(Single, Double, Superior Suite)
3. How many people staying in room?
____________________________________
4. Check-In Date?
____________________________________
5. Check Out Date?
____________________________________
E-mail or Fax the CC Payment Form to:
OR
Fax: 876-926-5501

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