Date(s) you would like to make a reservation:
Arrival:	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Number of Nights:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Number of adults?	1 2 3
Number of children?	0 1 2 3
Type of room:	Deluxe Room Super Deluxe Mini Suite ( catagory 1) Mini Suite ( Catagory 2)
Second room:	Deluxe Room Super Deluxe Mini Suite ( catagory 1) Mini Suite ( Catagory 2)
Bed Type Requested:	One King Size One Queen Size Two Queen Size
Would you prefer:	Non-Smoking Smoking
Are you traveling:	On Business On Leisure

What is the best way to contact you regarding availability?
e-mail	fax	phone
How did you hear of  Lila Regency? The internet Friend Business associate The Hotel Travel Index Recent advertisment in: Other:
Have you stayed with us before?
Yes	No
Would you like us to mail you a brochure?
Yes	No
Would you like us to keep you informed about special promotions?
Yes	No

Other questions or comments?


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