REVAL PARK HOTEL AND CASINO

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RESERVATIONS

 Before you fill in this reservation form we suggest you visit Reservations section for details of our terms and conditions.

   All fields marked with * must be filled in.

* Last name:
* First name:
Middle name:
* Citizenship:
* Date of arrival:		Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
* Date of departure:		Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2005
* Room category:		Select one Standard Casino Class
* Room type:		Select room category
* Number of rooms:		1 2 3
* Adults in the room:		1 2 3 4 5 6
Children in the room:		0 1 2 3 4 5 6
Last names of other guests:
Transfer:		Arrival Departure
E-Mail address:
Phone number:
Fax number:
Name of company
Visa support:		Yes No
Date of birth:		Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Passport number:
* Form of payment:		Select one Credit card Bank transfer Cash Check (for USA)
Additional information: