PLEASE
SIGN AND RETURN THIS COPY WITH YOUR RESERVATION PAYMENT. Fax: (415) 922-1485. THANK YOU.
PARIS
RENTAL-PLACE ADOLPHE-MAX (SQ. HECTOR BERLIOZ) c/o
Liliane Travert-Borsuk,1626 Vallejo Street, San Francisco, CA 94123-5116, Phone: (415)
922-8888, Fax: (415) 922-1485, email:markborsuk@aol.com
Tenant:
_____________________________________________________________________
Address:
_____________________________________________________________________
City:
_____________________State: ____________________Zip: ______________
Home
Telephone:
____________Business Telephone:_________________________
Arrival
Date: ______________________Departure:__________________________
Number of
nights:______________________________________________________
Name of
each person in party (state age if under 18):
Number of
persons occupying rental:______________________________________
Departure
date from USA:
___________Airline & flight #:_____________________
Reservation
deposit: $
______________check #___________________________
Confirmation
deposit: $______________check
#___________________________