I'D LIKE TO RESERVE/REQUEST AVAILABILITY

                    NAME    *         ADDRESS   
  SURNAME    *   ZIP CODE   
        CITY   
  PHONE    *   REGION   
  FAX      STATE   
  MOBILE    *      
  E-MAIL    *   How many persons?    *
        How many children?   
  CHECH-IN    *   Children age?   
  CHECK-OUT    *      
  How many night?    *   note   
  Double to reserve    *      


*
there fields are necessary