SECURE HOTEL RESERVATION FORM
My Credit Card Data
Type
Visa
Mastercard
Number
Expiry date
--
01
02
03
04
05
06
07
08
09
10
11
12
/
--
09
10
11
12
13
14
15
16
17
Verification*
* For your safety and security, we require that you enter your
card's verification number. The verification number is a 3-digit
number printed on the back of your card. It appears after and
to the right of your card number.
Billing Address
First Name
Surname
Address 1
Address 2
City
Post Code
Country
Telephone
E-Mail
Request
Number
If known, please indicate your approximate arrival time below:
Arrival
Time
09:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
24:00
Comments:
I authorize the Hotel to use my credit card to
secure my reservation.
We use a secure server with SSL encryption, which ensures a confidential data exchange OVER THE INTERNET. However, if you still prefer to send this information BY FAX instead, you can also print this page out, and fax to below standing no.
1. Secure Server:
2. By Fax:
Telephone: (+34) 954 324 984
Fax: (+34) 954 323 971
Email:
hotels@sevilla5.com
sevilla
5
.com
C/ Feria 80
41002 Sevilla
