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RESERVATION FORM
(Please, use only Latin characters)
Full Name
Arrival
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2001
2002
2003
2004
2005
2006
Address: City, Country, Zip Code
Departure
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2001
2002
2003
2004
2005
2006
Telephone: Country Code, City Code, Number
Adults
Children
1
2
3
4
5
6
7
8
9
Group
None
1
2
3
4
5
6
7
8
9
10
Fax: Country Code, City Code, Number
Room type
Studio for 2
Studio for 3
Studio for 4
Other
E-mail Addresse
Additional comments
[
Our island
] [
Our sponsors
] [
Greek tourism
]
REGINA TRAVEL LTD,
LYK. LOGOTHETI 30, PYTHAGORIO, SAMOS,GREECE ,831 03
Τel.:++30(2273)-61083 - 61808, Fax.:++30(2273)- 61341
E-mail:
regina@sam.forthnet.gr
