geneva-switzerland-on-line.ch

7 rue J.Pasquier 1203 Geneva Switzerland
RESERVATION FORM
Print it and fax it to the following fax number:
Fax N°: +41 22 345 15 16
Your details
FullName:_______________________________________________________________________
Address1:
_______________________________________________________________________
Address2:_______________________________________________________________________
City:____________________________________________________________________________
State:___________________________Zip/PostCode:___________________________________
Country:_________________________________________________________________________
E-Mail: ((Required)Please, spell and write correctly with capital letters)
________________________________________________________________________________
Telephone:______________________________________________________________________
Fax:____________________________________________________________________________
Card: American Express [__] Diners Club [__] Mastercard [__] Visa [__]
Card Number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Cardholder's Name:
________________________________________________________________________________
Expiry Date: _____/_____
CVV: __ __ __ __ (WHAT IS CVV? For Visa & MasterCard, the CVV is a 3-digit number printed on
the back of your card. For American Express, it is a 4-digit number printed on the front of your card.)
Payment Policy

When

Type

Amount

By

At Reservation

Credit Card Guarantee Only

-

Credit Card

At Check Out

Final Payment

Balance

Credit Card or Cash

Signature:_______________________________________________________________
(Required)
Accommodation ! Arrival Date ! Departure Date ! How many guests
!__________________!______________________!__________________!____________!
!__________________!_________________ ____ !__________ _______ !____________!
!__________________!______________________!__________________!_______ ____ !
Special requests:
_________________________________________________________________

geneva-switzerland-on-line.ch        Fax N°: +41 22 345 15 16