Name(s):   First Name:   Middle Name: Last Name:

                  First Name:   Middle Name: Last Name:

                  First Name:   Middle Name: Last Name:

                  First Name:   Middle Name: Last Name:

  Departure Date:     Arrival Date:
  Email Address:              Phone No:      Cell phone: 
  Fax Number:                 Address:        
  Hotel:                Choose Hotel Ambassador Hotel Atrium Hotel Bayview Park Hotel Century Park Hotel City Garden Suites - Manila Diamond Hotel The Executive Plaza Grand Boulevard Garden Plaza Hotel & Suites Hyatt Regency - Roxas Blvd. Hyatt Hotel & Casino - Malate Heritage Hotel Kimberly Hotel Las Palmas Hotel Lotus Garden Hotel Manila Hotel Manila Pavilion (formerly Holiday Inn Manila) Miramar Hotel New Solanie Hotel Orchid Garden Suites Pacific Place Apartelle Suites Palm Plaza Hotel Pan Pacific Hotel Pearl Hotel - Taft Avenue Pearl Garden Hotel - Adriatico Traders Hotel Westin Philippine  # of Rooms: Choose 1 2 3 4 5   
  Nationality:          
  Please indicate here the names of guests for the additional rooms.

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