Passover at the Luxe Hotel in Bel-Air, California

Please fill out a separate form for each room.

Family name
Names of first two people in room
Names and ages of 3rd and 4th in room
Address
City
State
Zip Code
Country
Phone
Cell
Fax
Email
Date of arrival
Date of departure
Room Selection Superior King rooms
Superior Double rooms
Deluxe King rooms
Executive Junior Suite rooms
Vista Suite rooms
Luxe Suite rooms
Adjoining
(Exec Jr Suite & Superior Double)		 rooms
Additional requests Extra bed (@ $100/stay)
Crib (@ $100/stay)
Hi-chair (no charge)
Booster (no charge)
Additional room refrigerator
(@ $100/stay)
Seder Options Communal
Semi Private (extra charge)
Private (extra charge)
Seating Preference Family only
    For seder only
    For entire holiday
If possible, seat me with
How did you hear about us? Newspaper (please state which)
Internet (please state which site)
Flyer
Word of mouth

Ours is an intimate program, so reserve early, as space is limited.

A check deposit of $500 per Superior or Deluxe room, of $750 per Executive Junior or Vista Suite and $1000 per Luxe Suite is required to honor your reservation request. Confirmation will follow.

Please be sure to read and sign Terms and Conditions to process your reservation.

11461 Sunset Blvd Los Angeles, California 90049
1-888-LUXE-PASS  |  www.luxepassover.com