RESERVATION  REQUEST

 *[   ]  Please confirm availability of the following:

Name:     Date:  
Address 1:     # of Persons:  
Address 2:     # of Rooms:  
City:     Room Type:  
State/County:     Arrival date:  
Zip Code/Postcode:     Departure date:  
Country:      Special requirements: ........................................................
 ................................................................................................
 ................................................................................................
 ................................................................................................
Telephone #    
Fax #    
e-mail address:    

*[   ]  Please confirm the above Reservation and charge the following card for deposit:

CREDIT  CARD  DETAILS
Credit Card type:     Credit Card #               :               :               :
Expiration date:       Security code (last 3 digits to right on back of card):

* Please tick one or both

Please Fax this page to:   (876) 993 7759

or

Email us at: pal.hotel@cwjamaica.com