The Melanesian Port Vila Hotel Reservation Form
Thank you for choosing
The Melanesian Port Vila
.
To reserve a room, please fill in the information below.
Guest Information
First Name
Last Name
Address 1
Address 2
City
State
Postal Code
Phone
Email Address
Number of Adult Guests
1
2
3
4
5
Number of Child Guests
0
1
2
3
4
5
Room Preference
1BDRoom Bougainvillea Apartment
2BDRoom Bougainvillea Apartment
Presidential Suite
Hibiscus Room
Orchid Room
Number of Rooms
1
2
3
4
5
6
7
8
9
10
Special Deal Request
Stay4/Pay3
.
BBQ Night
(Wed, Fri & Sun Only)
Round Island Tour
(Conditions apply)
Date and Time
Check-in Date
Check-in Time
Morning
Afternoon
Evening
Check-out Date
Check-out Time
Morning
Afternoon
Evening
Name on Card
Credit Card Type
Visa
MasterCard
American Express
Credit Card Number
CSC Code
Expiration Date (mm/yy)
Special Instructions
Indicates Response Required
Build forms with
FormSite.com