RESERVATION REQUEST FORM

Name :  
Arrival Date : 
Departure Date :

Arrival Details:

Flight No 
Time of arrival
Pick up   
Other 

Room Type : 

                    Studio Suite
                    One Bedroom Suite 
                   
Reserved By :

Name
E-mail
Tel
Fax

Billing Instructions:

Please specify the mode of payment

Cash Payment
Credit Card
Other

Credit Card No :
Name of Card Holder :
Expiry Date :

Please Enter Any requests/ Special Instructions
In the box below:

         

Pearl Residence Hotel Apartments,  P.O.Box: 20715,  Dubai,  UAE,Tel : 00971-4-3558111 Fax: 00971-4-3550530
E-mail: pearlres@emirates.net.ae