Reservation form

Orderer / 1st Guest

Name:*

Surname:*

Date of birth:*

Street and No. of Residence:*

City:*

Zip code:*

Phone:*

Email:*

Hotel:

Room:

Arrival date:*

Number of nights:

Stay:

2nd Guest

Name:

Surname:

Date of birth:

To be filled in, only in the case of different address of the 1st Guest.

Street and No. of Residence:

City:

Zip code:

Phone:

Email:

Stay: choose your stay Medical Wellness Wellness week EXCLUSIVE Spa for a try Wellness days / 7 nights Spa treatment stay Wellness days / 4 nights Wellness days / 3 nights Hotel accommodation

Other stay:

Services for an extra charge:Lunch 300 CZK / 1 day / 1st Guest

 Lunch 300 CZK / 1 day / 2nd Guest

 Parking

 Other (Specify at Additional information)

Payment of stay

I will aply:discount (provide the discount code in Additional information)

 gift voucher (provide the voucher number in Additional information)

 I am buying the stay as a gift (please provide the name and surname of the recipient and any other requirements to issue a gift voucher in Additional information).

Additional information (please put here other requirements and important information needed for proper order processing):

By submitting the form I agree with the General Terms and Conditions.