Booking Form

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Available

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No. of Night/s: ...

Cost of Booking: ₱0.00

First Name (required):

Last Name (required):

Email (required):

Phone:

Address (required):

City (required):

Zip code (required):

Country (required):

Number of Guest/s:

Additional Pax (₱500/pax):

With Pet Dog/s:

With Pet Cat/s:

Details:

Breakdown of Booking:

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No. of Night/s: ...

Cost of Booking: ₱0.00

Additional Cost: ₱0.00

Full Cost of Booking: ₱0.00

50% Downpayment: ₱0.00

Balance: ₱0.00

I accept the terms and conditions.

Note: The final billing may change based on actual head count for adults, children or pets during the on-site appearance.

Phone:	+63 915 014 9120
Email:	info@lapatriachica.com
Website:	www.lapatriachica.com
Facebook:	www.facebook.com/ id=61551394074682
Address:	Purok 3, Brgy. Catagman, Peñaplata, Island Garden City of Samal, Davao del Norte, Philippines, 8119