Hotel Reservation Enquiry Form

 I. Personal Information

1.  	First name	     	
2.  	Last name	     	
3.  	Citizenship	     	
4.  	Date of birth	     	
5.  	Passport	     	
6.  	Address 	     	
7.  	Postal code	     	
8. 	Telephone	     	
9.  	Fax	     	
10.	E-mail address	     	
11.	Country	     	
12.	State/Province	     	
II. Visit information

13.	Arrival date	     	
14.	Departure date	     	
15.	Flight number	     	
16.	Arrival Town	     	
17.	Hotel	     	
18.	Meals	     	
19.	Type of room	     	
20.	Number of adults	     	
21.	Number of children	     	

22. Visa support   :	 required	 not required
23. Sending the invitation by fax to the Belarusian representation abroad :	                                         publicly traded	 other
24. Requested information: