Hotel Wagelia Dominica Reservation Form

Name:		Last Name:
email:
Phone:		Fax:
Country:
Adults:	# 1 2 3 4 5 6 7 8 9 10 Kids under: 8 yr: 1 2 3 4 5 6 7 8 9 10 # Kids with: 8 yrs: 1 2 3 4 5 6 7 8 9 10 #
Rooms:	1 2 3 4 5 6 7 8 9 10 #	Room:	single doble triple quadruple ?
Check in date:		Check out date:
Aditional Request or Comments: