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Booking Form of Madeira Hotels

Hotel Pestana Village

Personal Particulars
First Name:		Surname:
Address:
Address 2:
City:		Country:
e-mail:		Day Phone Nº:
Eve. Phone Nº:		Fax Nº:

Guests Particulars

No	Family Name	Given Name	Gender	Age
1)
2)
3)
4)
5)

Check-in (dd/mm/yyyy) / /

Check-Out (dd/mm/yyyy) / /

Nº of Rooms:

Nº of Extra Beds:

Single/Double:

Board Type:

Special Request:

Any questions?

Do you want us to call back ?
- Yes no

Terms of Payment

Credit Card:

Expiry Date:

Card Number :

Please note that we typically respond within 24 hours. If you have not received a response from us within this period then it is likely that your e-mail address is incorrect and we have not been able to get a message back to you. Please check your e-mail address carefully. Thank you.