BROMPTON HOTEL, LONDON - Reservations
Fax Enquiry / Confirmation for accommodation
Please print off this form, complete as many details as possible IN BLACK INK and fax to: UK CODE (44)-1844-441899. Only provide your credit card details if you wish to make a definite reservation
If you do not receive a response within 24 hours please assume there is a communication problem and either refax or telephone:UK CODE(44)-1844-343132

Name:.
Email:.
Fax Number:.
Full Postal Address:
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Total # in party:
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Arrival date:
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Departure date:
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Number of nights:
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Room Size:
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Any special requirements ?:
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Price per night:
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Credit card #:
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Expiry Date:
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I would like to make a reservation and understand that the hotel will accept the above credit card as guarantee. I agree that should I cancel less than 2 clear days prior to the day of arrival that my credit card will be debited for the first night value of the accommodation

SIGNED.................................................................
PRINT NAME:.......................................................