No.
1234
REGISTRATION FORM
Name:_______________________ Adv. Deposit:__________________________________
Room No.:______ Room Type: ______Room Rate: __________No. of Guest:__________
Arr. Date:________ Arr Time:___________ Dep. Date:__________ Dep. Time:__________
Account No.:____________ No. of Nightd:__________ Res. Status:_________ Group Plan ( )Y
()N
Residence Address:_________________________________________________________________
Office Address:______________________________________________________________________
Residence Tel No. : ________________________________ Office Tel
No. :_________________________
Profession / Occupation: ______________________________ Birth Date:
___________________________
Sex:________ Citizenship : ____________________ Civil Status:
_______________________________
Upon Checking out my account will be settled by:
______________________Credit Card ______________________________ Type
______________________________ Credit card No.
______________________Company Check
______________________ Check
I/We hereby acknowledge receipt a copy of the House Rules of Plaza Luisa, and I/We
agree and will abide all the states rules. In case I/We fail to pay my/our room bill and
other corresponding charges daily, the Hotel Management is authorize to take any legal
action against me/us.