RESERVATION FORM PHONE CONTACTS Tel: +256-41-250780-3, +256-41-311400, +256-31-2622258 Hotline:  +256-772-386372, or +256-752-744204 Fax: +256-41-250789/+256-41-250146 Please fill in the form below   First Name* Last Name* Email Address* Telephone / Mobile Please advise Mobile Phone Number to receive Text Message from us incase we are unable to reach you by email/ phone. Country*: Address: Details of your Reservation Hotel Name: Grand Imperial Equatorial Hotel Imperial Botanical Beach Imperial Royale Hotel Imperial Resort Beach Hotel If multiple, separate by comma. Hotel Check in* DD/MM/YEAR Hotel Check Out* DD/MM/YEAR Single rooms 0 1 2 3 4 5 6 7 8 9 10 11 12 Double rooms 0 1 2 3 4 5 6 7 8 9 10 11 12 Number of Adults Occupying room: Number of Children (If Any): Budget Per Room Per night in US$ Msg: Indicate if you have any special requirements, e.g extra bed, connected rooms, e.t.c If you will require Airport Tranfer, please fill in your details.( It may require an extra cost depending on the Hotel.) Flight Number &Time of Arrival : Flight Number &Time of Departure :