Reservation form

Here you can book online using our secure 128 Bit SSL service.
Optionally you can book per fax by clicking here.

Hotel Medosz

Please fill in the form using English letters. Data marked with * must be filled in

Reservation for groups, click here!

Name*	Last name (eg. Smith)	First name (eg. John)
Address*	Country
	City
	Street
	ZIP code	e-mail
	tel	fax
	Attention! Hotmail users may find that our confirmation messages land automatically in the 'junk mail' folder. When using Hotmail, please provide an alternate e-mail address or a fax number to make sure that you receive your confirmation.

If the requested accommodation is not available please book the following for me:

Option #2

Arrival*
Departure*
Nights

Room type*
	Single
	Double
	Triple
	Apartment for 4 persons
	Apartment for 5 persons

Number of adults*:
Number of children:		Age of children:

Children under age 6 stay free of charge in the room of their parents. Extra bed can be asked for a 5th person in the apartments. No extra bed available for single, double or triple rooms.

Name of card holder*
Type of card*
Number*
Expiry*	month	year	CVC Code ¹

Credit card data are necessary to guarantee your reservation.
Your card will NOT be charged in advance.

Expected arrival at the hotel ²
Comments
How did you find us ³
Other, please specify

¹ On the back side of the card a 3 digit number

² Necessary in case you are booking an apartment

³ It helps us to be more effective with our work