Order date:

Personal details  

*Last Name:

*First Name:   

*Contact Number:

Reservation Information  

*Room reserved under:

*Arrival date:
(e.g.MM/DD/YYYY)

*Departure date:
(e.g.MM/DD/YYYY)

Credit card for guarantee (needed even if charges will ultimately be placed on room):

*Card Number:

*expiration date:
(e.g.MM/YY)

Special instructions:

Items offered  

		Rose petal welcome: 40.
		Chocolate Covered strawberries: 18.
		Specialty Cheese, dried fruit and roasted nut platter: 21.
		Fresh fruit platter (serves 2): 14.
		Chilled champagne service for 2: 65.
		Cabana Rental (includes water, luxury towel service, mini-fridge): 100. (per 10/hr day.)
		In-room or poolside cabana massage: 120./hr
Fresh flowers:
		Powder room: 35.
		Bedside: 65.