Historic Panama Hotel Online Reservation Form 

Name:

Address:

Telephone:

email:

Requested Dates: 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

                                                           to  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

Room Size One Double Bed Two Double Beds Adjoining Rooms Two twin beds      Occupancy Single Double

Additional People 1 2 3 4   Smoking Non-Smoking

Credit Card#(Optional) to hold your reservation

or Call 206.223.9242 for confirmation

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