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 #___________________________