RESERVATION REQUEST FORM

Complete our Internet Reservation Request Form to reserve your room at 

Glicorisa Beach Hotel

  Room Type: Select Type Of Room single double family room

  Number of Rooms:     Number of Persons:

  Arrival Date (dd-mm-yy): Departure Day (dd-mm-yy):   Number of Nights:

  Personal Information

  Last Name:   First Name:

  Address:

  City:    Zip Code:    Country:

  Phone number (with area code):    Fax Number (with area code):

  E-mail Address:

  Preferences

   Two single beds  for double  rooms          Sea view        Land view      bb (breakfast only)

   One double bed  for double  rooms                                      hb (breakfast and dinner)                    

   Notes