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St.Benilde
Room Reservation Form
Arrival Date: _____________ Time: ____________ Departure Date: _________
Name: ________________________________________
Share with: ____________________________________
Address:
___________________________________________________________________________________
City: _____________________State/Province :__________Postal Code:__________ Count:_________
Telephone: ____________________
Room preferences: ___ The Kings Suite___ The Ultimate Deluxe ___ The Classic Deluxe___ The
Economy___ The Standard
Special requests (will be accommodated if possible):
__________________________________________
Method of Payment:
If Credit Card:
___ AmEx
___ Visa
Card #: ______________________________
___ MC
___ Diner's
___ JCB
- or -
___ Discover
Prepared By:________________________