Hotel Victoria reservation page 
Call us +370-2-724013, 790279 or print this form
and send a fax +370-2-724320. Please fill out completely!
Name of guest
Address: 
Country / City: 
E-mail: 
Book: 
Date of arrival:  Book for  nights 
Room type: 
Single   #:  Mini suite  #:  Category:  
Double   #:  Suite   #: 
Payment Information: 
VISA card 
Diners Club 
Eurocard / Mastercard 
Cash 
Bank transfer 
#:   Expires:  
Transport services: 
Airport transfer. 
Time of arrival  Flight number 
Confirm by: 
Fax  
Phone   Day:  Eve: 
Comments: 



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