Amazones Hotels – Express Chekout Form

Name / Surname *

Check-out date *

Country *

City / State / Postal code *

Address *

Telephone number *

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Passport No / ID no *

Issue date *

Place of issue *

Expiry date *

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• 2nd person

Name *

Surname *

Country *

Nationality *

Passport No / ID no *

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Credit card details *

• American Express
• Diner's club
• Euro / Mastercard
• JCB
• Visa
• Other

Credit card number *

Expiry date *

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Email *

Confirm email *

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• Requesting invoice in case of damages charge

Company name *

City / Address *

VAT number *

Country / City / Postal code *

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Remarks

Please confirm *

• I do not have any open bills on the bar or the reception of th hotel. In case i have i consent to use my card below to cover any outstanding amount. In addition i am leaving the room the same way in checked in without any damages, in case there are damages, i consent to be charged and be invoiced for these damages.

Please confirm *

• By submiting this form, you agree to Amazones Hotels Terms and Conditions & Privacy Policy

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