COSTUMER REGISTRATION FORM

Ferima Blue Hotel invites you at the Catarman,Nothern Samar ! See you there ..

                         Please complete your Registration Form and send it to our email address :)


 GUEST INFORMATION :


    Your Name:
    Company Name:
    Phone no.:                                                                            fax:
    Email address:
    Website Address:
    Street address:
    City:
    State/Province:
    ZIP/Postal code:
    Country:
    Passport no.:                                                                       Date of Birth:__/__/__
 


    RESERVATION:

    Check-in Date:__/__/__                                                     Check-out Date:__/__/__


    PAYMENT:

    Credit Card:                          VISA__          AMEX__         OTHERS__
  
    Number:                                 Exp:__/__     Security code:



              For more information please contact our Reservation Department phone number 482-11-12
             
              THANK YOU and GODBLESS ..