Nazira & Azizbek Hotel Reservation

Do you have a valid visa for Uzbekistan?

Number of persons:

How do we contact you

adults children
(If there are more than three of you - please fill this form several times).

First name:

Last name:

E-mail:

Check-in-hotel time:

(DD / MM / TIME)

Check-out-hotel time:

(DD / MM / TIME)

Room type & number:

Single room:
Double room:

Following form must be filled for each h traveller:
Send a copy of your passport. can be HERE or send an e-mail pagetour@gmail.com

#	Name (first and last)	Citizenship	Gender	Date of birth (DD / MM / YY)	Number of passport
1)
2)
3)

Specify any reasonable requirements
(e.g. room temperature; particular health requirements; dietary requirements and the like):

Do you need a picking up?

Specify a date, a time and a method of your arrival
(e.g. 25-Mar-05 7 p.m., from ______ to Tashkent by plane):

Other Comments:

You will get a hotel confirmation during several hours.

Nazira & Azizbek Hotel Reservation Request Form