Reservation Request Form
Title
Mr
Mrs
Miss
Dr
First Name
Last Name
Address
City
Zip code
Country
Phone
Fax
E-mail
Room type
Superior Rooms Sea View
Bungalows Front Sea View
Executive Rooms Sea View
Comfort Rooms Garden View
Handicap
Date of Arrival
Day
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30th
31st
Month
January
Feb
March
April
May
June
July
August
September
October
November
December
Year
2006
2007
2008
Date of Departure
Day
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
13th
14th
15th
16th
17th
18th
19th
20th
21st
22nd
23rd
24th
25th
26th
27th
28th
29th
30th
31st
Month
January
Feb
March
April
May
June
July
August
September
October
November
December
Year
2006
2007
2008
Number of rooms
Number of adults
Number of children
Remarks
Loggos, 25100 Egio, Achaia, Peloponnese, Greece | Tel: 0030 26910 72196-8 Fax: 0030 26910 72373 Email:
lbhotel@longbeach.gr