FAX RESERVATION REQUEST FORM

Print, fill and fax it to us

IMPORTANT NOTE: You can use this form only to request availability by fax of an apartment that you are interested in reserving. It is only a request form.
 
If you already got in touch with us about availability and you now need to proceed to reserve and secure the apartment by faxing us your reservation details and credit card info, you have to USE the Credit Card Authorization Form

Name _____________________________________________________________

Address ___________________________________________________________

City ________________________ State ________________ Zip ______________

Phone (Home) _______________________     (Work) ______________________

Fax ________________________________    Employer ____________________

Email Address ______________________________________________________

Emergency Contact __________________________________________________


ARRIVAL / DEPARTURE DETAILS

Arrival Date ________________________________________________________

Departure Date ______________________________________________________

Apartment  _________________________________________________________

Additional guests (if any)                            Name ___________________________

Name ___________________________    Name ___________________________

Signature ____________________________        Date ______________________

RCS : Paris B 410 202 873 (96B 16702) LI No 075970074 / Assurance AXA
No  TVA : FR 89410202873 Garantie bancaire: BICS BANQUE POPULAIRE

www.parisfurnishedapartments.com

.