Mina Hotel Reservation Request Form
* Name: 
* Surname: 
* E-mail: 
Address: 
Phone Number: 
Fax Number: 
City: 
*Country: 
*Type of Room: 
No of Rooms: 
*Check-in Date: 
*Check-out Date: 
Notes: 
 
Please e-mail or fax your valid major credit card no and civ with expiry date
in order to secure reservation on definite basis. Kindly note that in case of
no-show, one night's revenue will be charged to your credit card automatically