IMPORTANT!! Pls furnish full name. Names furnished here will be the names used to register for
  the rooms. () is a compulsory field.


  Name   Other Name Family Name
  IMPORTANT!! Pls furnish complete e-mail address
  E-mail Address
( Correspondence E-mail address)
  E-mail Address
( Second E-mail address,if any )
  Telephone No  
  Fax No
  Company Name
  (If applicable)
  Correspondence Address  
  Country of Residing
  Which CO-OP Residence would you like to stay  
  Room Type  
  Bed Type  
  Total number of rooms required
  Total number of Adult(s)
including yourself
  Date of check in & out
  Date of check in Date of check out
  How did you find out our residence?
  Indicate here for any special request