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Blissful Beach -Form Fill

Section One
Q1

fill with name and surname

Q2

what kind of room do you need?

Q3

write here your phone number please

Phone Number

Q4

Properties interested in 1 room with bath/2 rooms with bath

Q5

Do you want to know about the payment?

Q6

Do you want to know about the restaurant and the food?

Q7

Anything you want to add?

Q8

Checkin Date

Month

Q9

Checkin Date

Day

Q10

Checkin Date

Year

Q11

Checkout Date

Month

Q12

Checkout Date

Day

Q13

Checkout Date

Year