NOA HOSTEL FORM ORDER

Name
Email address
Address
City
Postal Zip Code country
Home telephon Work telephon
Fax number

Preferred contact method:
e-mail. fax. work phone. home phone

Arrival Date
Departure Date

I want to stay for Days

PAYMENT - SEND A CHEQUE TO NOA HOSTEL FOR RESERVATION OR WITH

VISAEUROCARD AMEX

DINERS - ñøðééã

CREDIT CARD NO EXPIRY

CARD HOLDER NAME

Any Comments and Information

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