FAX RESERVATION FORM

Name ________________________________________________________________

Address ______________________________________________________________

______________________________________________________________________

Telephone  _____________________________   FAX ________________________

E-mail  _______________________________________________________________


ARRIVAL / DEPARTURE INFORMATION

Arrival Date  __________________________________________________________

Departure Date  _______________________________________________________

Ref. Apartment  _______________________________________________________

Additional guests (if any)

Name ____________________________  Name  ____________________________



Signature ____________________________             Date ___________________

e-mail: directapartment@aol.com

Pavel Alter Inc.
115 W 25th Street, New York, New York 10001 (between 6 and 7 Avenue)
telephone: 212-741-4555, fax: 646-230-7042,
cell: 917-453-3109