Glen-Eden Private Hotel Reservation

Do you have a valid visa for Uzbekistan?

Number of persons:

How do we contact you

adults children
(If there are more than three of you - please fill this form several times).

First name:

Last name:

E-mail:

Check-in-hotel time:

(DD / MM / TIME)

Check-out-hotel time:

(DD / MM / TIME)

Room type & number:

Economical (4 rooms)	Standard Suite (9 rooms)	Business Suite (1 room)
Single Occupancy	Single Occupancy	Single Occupancy
Double Occupancy	Double Occupancy	Double Occupancy

Following form must be filled for each traveller.

#	Name (first and last)	Citizenship	Gender	Date of birth (DD / MM / YY)	Number of passport
1)
2)
3)

Specify any reasonable requirements
(e.g. room temperature; particular health requirements; dietary requirements and the like):

Do you need a picking up?

Specify a date, a time and a method of your arrival
(e.g. 25-Mar-05 7 p.m., from ______ to Tashkent by plane):

Other Comments:

Glen-Eden Private Hotel Reservation Request Form

Glen-Eden Private Hotel
Reservation Request Form