Grand Mir 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)

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-09 7 p.m., from ______ to Tashkent by plane):

Other Comments:

Our Telephone: +99897 404 26 19
486094918

The adviser Olga: 486-094-918
To find out the information on hotel...

Grand Mir Hotel Reservation Request Form

Grand Mir Hotel
Reservation Request Form