Polish Hotel Reservation Desk: Reservation Form for selected hotels in city: Lipowa Poland

Welcome to the Polish Hotel Reservation Desk with IATA Travel Industry Designator Service code TIDS: IATA

96244724

You have entered PAY PART of our service, where - on your SPECIAL REQUEST - our Travel Agent
can check room availability and make a reservation at selected hotels in Poland.
For details about our Travel Agency service charge (= reservation processing fee) - see text in RED: below
Uwaga: ta część serwisu (obsługa rezerwacji) jest PŁATNA (szczegóły opłaty za obsługę rezerwacji - zobacz poniżej)

RESERVATION FORM - for selected hotels in city: Lipowa, Poland
Formularz Rezerwacji

Reservation details - szczegóły rezerwacji

City name: Nazwa miasta:	Lipowa, Poland
Preferred hotel: Preferowany hotel:
Room type: Rodzaj pokoju:
Total Number of Persons: Liczba osób:
Number of rooms: Liczba pokoi:
Arrival date: (dd.mm.yyyy) Data przyjazdu:	, estimated arrival time: ok. godziny: 13-23 o'clock (or: 1 pm - 11 pm)
Length of your stay: Liczba nocy:	number of nights
Remarks/ special needs: Uwagi/ specjalne życzenia:

Reservation for Rezerwacja dla:

Guest`s LAST NAME NAZWISKO Goscia:	, First Name (Imię):
E-mail: E-mail:	(A reservation confirmation will be sent to the email provided above)
Contact Phone (best: mobile/ handy) Telefon kontaktowy (najlepiej: komórka):	+country_code - area_code - phone_number
COUNTRY - this phone is located in:

Payment for accommodation: Guests pay for accommodation with cash or by credit card - directly at the hotel reception.
Za pobyt w hotelu Gość płaci sam za siebie: gotówką lub kartą kredytową - bezposrednio w recepcji hotelu.
Reservation Guarantee - Gwarancja rezerwacji: credit card (VISA, MasterCard/ EuroCard or Amex) valid on the arrival date is required:
1. to guarantee this reservation to the hotel,
  AND
2. to pay the travel agency service charge (for succesfull reservation processing)
  Note: we charge only for successful reservations - there is NO travel agency service charge (reservation processing fee), if the reservation request cannot be completed due to lack of availablity.
I do guarantee this reservation with the following credit card:
I do authorize to charge provided credit card with the travel agency service charge (reservation processing fee) = 10% of total reservation value (but minimum: 61 PLN/ about 15 Euro).
I understand, that this travel agency service charge is NOT included in room rates and is NOT refundable in case of cancellation.

Credit Card type:		Card number:
Expiration date:		Name of card holder:
Note: only regular, classic (embossed) credit cards: VISA, EuroCard/ MasterCard, Diners, JCB and AMEX can be used to guarantee hotel reservations. Please do NOT use electronic cards (like: Maestro, Cirus, VISA Electron) or check cards.

Standard Disclaimer for Travelers
General Cancellation Policy: Reservation is guaranteed with provided credit card. If you will not need this reservation any more, please cancel as soon as possible, but not later than ONE DAY prior to arrival date Please note, that in case of a no-show, the hotel reserves the right to charge the provided credit card for the first night.

Note: a reservation confirmation will be sent to your email address (in English) - usually within 1-24 hours (business days MO-FR).

- to the Polish Hotel Reservation Desk