world of comfort, opulence and unstinting luxury


Kindly send the following duly signed pre-authorization form either by
Fax - +91-177-2814054-59
E-mail -

I agree to allow Hotel Baljees Regency to charge off line my Visa Credit Card No ________________ with the expiry date ________________ in the name of ________________ for an amount of ________________ for the purpose of reserving ________________ on ________________ for________________ nights. I also accept the hotel's condition that this is a non refundable amount in case of cancellation or no show.

Your Signature